Mr Garth Allen Mills Jr, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Salem, Virginia. His current practice location is
1802 Braeburn Dr, Salem, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 772-3490.
Mr Garth Allen Mills Jr is licensed to practice in Virginia (license number 0110002600) 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 1225223704.
Physician's Profile
Full Name | Mr Garth Allen Mills Jr |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 1802 Braeburn Dr, Salem, Virginia |
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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: 1225223704
- Provider Enumeration Date: 09/07/2007
- Last Update Date: 10/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 7911094065
- Enrollment ID: I20071106000462
Medical Identifiers
Medical identifiers for Mr Garth Allen Mills Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225223704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 0110002600 (Virginia) | Secondary |
363A00000X | Physician Assistant | 0110002600 (Virginia) | Secondary |
363AM0700X | Physician Assistant - Medical | 0110002600 (Virginia) | 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 Garth Allen Mills Jr 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 Garth Allen Mills Jr, PA-C 1802 Braeburn Dr, Salem, VA 24153-7357 Ph: (540) 772-3490 | Mr Garth Allen Mills Jr, PA-C 1802 Braeburn Dr, Salem, VA 24153-7357 Ph: (540) 772-3490 |
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