Evan G Pattishall Iii, MD is a
Pediatrics physician based in University Park, Pennsylvania. Evan G Pattishall Iii is licensed to practice in Pennsylvania (license number MD-030227-E) and his current practice location is 310 Student Health Center, University Park, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(814) 863-8542.
NPI number for Evan G Pattishall Iii is 1962520395 and his current mailing address is 310 Student Health Center, University Park, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962520395.
Physician's Profile
Full Name | Evan G Pattishall Iii |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 310 Student Health Center, University Park, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962520395
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 07/15/2008
Medical Identifiers
Medical identifiers for Evan G Pattishall Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962520395 | NPI | - | NPPES |
PA448820 | Other | PA | BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD-030227-E (Pennsylvania) | Primary |
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. Evan G Pattishall Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Evan G Pattishall Iii, MD 310 Student Health Center, University Park, PA 16802 Ph: (814) 863-8542 | Evan G Pattishall Iii, MD 310 Student Health Center, University Park, PA 16802 Ph: (814) 863-8542 |
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