Andrew Marcus Rosendahl, IDC is a
Physician Assistant based in Portland, Texas. Andrew Marcus Rosendahl is licensed to practice in * (Not Available) (license number ) and his current practice location is
1912 Falcon Drive, Portland, Texas. He can be reached at his office (for appointments etc.) via phone at
(361) 563-9720.
NPI number for Andrew Marcus Rosendahl is 1538355219 and his current mailing address is 1912 Falcon Dr, Portland, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538355219.
Provider's Profile
| Full Name | Andrew Marcus Rosendahl |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1912 Falcon Drive, Portland, Texas |
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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: 1538355219
- Provider Enumeration Date: 09/17/2007
- Last Update Date: 09/17/2007
Medical Identifiers
Medical identifiers for Andrew Marcus Rosendahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538355219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Andrew Marcus Rosendahl 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 |
|---|
Andrew Marcus Rosendahl, IDC
1912 Falcon Dr,
Portland, TX 78374-2715
Ph: () - | Andrew Marcus Rosendahl, IDC
1912 Falcon Drive,
Portland, TX 78374
Ph: (361) 563-9720 |
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