Carly Elizabeth Haddock, PA-C is a medicare enrolled "Physician Assistant" physician in Fountain Hill, Pennsylvania. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Luke's Physician Group Inc and her current practice location is
701 Ostrum St Ste 201, Fountain Hill, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(484) 526-6545.
Carly Elizabeth Haddock is licensed to practice in Pennsylvania (license number MA062781) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295389849.
Physician's Profile
| Full Name | Carly Elizabeth Haddock |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 701 Ostrum St Ste 201, Fountain Hill, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carly Elizabeth Haddock graduated from medical school in 2019
NPI Data:
- NPI Number: 1295389849
- Provider Enumeration Date: 07/31/2019
- Last Update Date: 09/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082047162
- Enrollment ID: I20210908002508
Medical Identifiers
Medical identifiers for Carly Elizabeth Haddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295389849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0110-006780 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | MA062781 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Luke's Physician Group Inc | 6709798333 | 1727 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Elizabeth Haddock is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Carly Elizabeth Haddock, PA-C
701 Ostrum St Ste 201,
Fountain Hill, PA 18015-1152
Ph: (484) 526-6545 | Carly Elizabeth Haddock, PA-C
701 Ostrum St Ste 201,
Fountain Hill, PA 18015-1152
Ph: (484) 526-6545 |
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