Thomas W Prendergast, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Easton, Pennsylvania. Thomas W Prendergast is licensed to practice in Pennsylvania (license number MD064702L) and his current practice location is 2005 Fairview Ave, Suite A, Easton, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(610) 923-5200.
NPI number for Thomas W Prendergast is 1881617645 and his current mailing address is 2005 Fairview Ave, Suite A, Easton, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881617645.
Physician's Profile
| Full Name | Thomas W Prendergast |
|---|
| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 2005 Fairview Ave, Easton, Pennsylvania |
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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: 1881617645
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 09/20/2016
Medical Identifiers
Medical identifiers for Thomas W Prendergast such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881617645 | NPI | - | NPPES |
| 7496303 | Medicaid | NJ | |
| P007151069 | Other | NJ | RR MCR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 25MA06864200 (New Jersey) | Secondary |
| 204F00000X | Transplant Surgery | 25MA06864200 (New Jersey) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2015010868 (Missouri) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD064702L (Pennsylvania) | 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. Thomas W Prendergast 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 |
|---|
Thomas W Prendergast, MD
2005 Fairview Ave, Suite A,
Easton, PA 18042-3915
Ph: (610) 923-5200 | Thomas W Prendergast, MD
2005 Fairview Ave, Suite A,
Easton, PA 18042-3915
Ph: (610) 923-5200 |
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