Michael Ruben Mcdaniel, PA-C is a
Physician Assistant physician based in Atlanta, Georgia. Michael Ruben Mcdaniel is licensed to practice in Georgia (license number 10321) and his current practice location is 275 Collier Rd Nw Ste 300, Atlanta, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 350-0009.
NPI number for Michael Ruben Mcdaniel is 1902491798 and his current mailing address is 4264 Jackson Trace Rd, Lincoln, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902491798.
Physician's Profile
| Full Name | Michael Ruben Mcdaniel |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 275 Collier Rd Nw Ste 300, Atlanta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902491798
- Provider Enumeration Date: 03/04/2021
- Last Update Date: 06/11/2021
Medical Identifiers
Medical identifiers for Michael Ruben Mcdaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902491798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 1181534 (Georgia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1181534 (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 1181534 (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 10321 (Georgia) | 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. Michael Ruben Mcdaniel 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 |
|---|
Michael Ruben Mcdaniel, PA-C
4264 Jackson Trace Rd,
Lincoln, AL 35096-6893
Ph: (256) 630-3492 | Michael Ruben Mcdaniel, PA-C
275 Collier Rd Nw Ste 300,
Atlanta, GA 30309-1740
Ph: (404) 350-0009 |
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