Mr Cory M Kovac, PA-C is a medicare enrolled "Physician Assistant" physician in Queen Creek, Arizona. His current practice location is
19350 E Silver Creek Ln, Queen Creek, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 718-5400.
Mr Cory M Kovac is licensed to practice in Arizona (license number 3363) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093753709.
Physician's Profile
Full Name | Mr Cory M Kovac |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 19350 E Silver Creek Ln, Queen Creek, Arizona |
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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: 1093753709
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 02/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 8426064858
- Enrollment ID: I20160720002400
Medical Identifiers
Medical identifiers for Mr Cory M Kovac such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093753709 | NPI | - | NPPES |
023682 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 3363 (Arizona) | Secondary |
363A00000X | Physician Assistant | 3363 (Arizona) | 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. Mr Cory M Kovac 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 Cory M Kovac, PA-C 729 S Burk St, Gilbert, AZ 85296-2815 Ph: (480) 588-6213 | Mr Cory M Kovac, PA-C 19350 E Silver Creek Ln, Queen Creek, AZ 85142-9064 Ph: (480) 718-5400 |
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