Krishna Harikushna Patel, PA-C is a medicare enrolled "Physician Assistant" physician in West Memphis, Arkansas. Her current practice location is
1401 Ingram Blvd, West Memphis, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(901) 409-4773.
Krishna Harikushna Patel is licensed to practice in Tennessee (license number 5501) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821785593.
Physician's Profile
Full Name | Krishna Harikushna Patel |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1401 Ingram Blvd, West Memphis, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821785593
- Provider Enumeration Date: 04/21/2023
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789041591
- Enrollment ID: I20240926002223
Medical Identifiers
Medical identifiers for Krishna Harikushna Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821785593 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0200X | Internal Medicine - Critical Care Medicine | 5501 (Tennessee) | Secondary |
363A00000X | Physician Assistant | 5501 (Tennessee) | 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. Krishna Harikushna Patel 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 |
Krishna Harikushna Patel, PA-C 1401 Ingram Blvd, West Memphis, AR 72301-2229 Ph: (901) 409-4773 | Krishna Harikushna Patel, PA-C 1401 Ingram Blvd, West Memphis, AR 72301-2229 Ph: (901) 409-4773 |
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