Mr Carson William Andrew, PA-C is a medicare enrolled "Physician Assistant" physician in Rochelle, Illinois. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ksb Medical Group Inc and his current practice location is
900 N 2nd St, Rochelle, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 562-2181.
Mr Carson William Andrew is licensed to practice in Illinois (license number 085006343) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396264339.
Physician's Profile
| Full Name | Mr Carson William Andrew |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 900 N 2nd St, Rochelle, Illinois |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Carson William Andrew graduated from medical school in 2017
NPI Data:
- NPI Number: 1396264339
- Provider Enumeration Date: 09/11/2017
- Last Update Date: 04/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668738915
- Enrollment ID: I20171102001690
Medical Identifiers
Medical identifiers for Mr Carson William Andrew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396264339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 085.006343 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085006343 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ksb Medical Group Inc | 7911890009 | 74 |
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. Mr Carson William Andrew 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 |
|---|
Mr Carson William Andrew, PA-C
900 N 2nd St,
Rochelle, IL 61068-1764
Ph: (815) 562-2181 | Mr Carson William Andrew, PA-C
900 N 2nd St,
Rochelle, IL 61068-1764
Ph: (815) 562-2181 |
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