Andru Alan Widener, is a medicare enrolled "Physician Assistant" in Bartonville, Texas. His current practice location is
1182 Gibbons Rd S, Bartonville, Texas. You can reach out to his office (for appointments etc.) via phone at
(916) 251-6351.
Andru Alan Widener is licensed to practice in * (Not Available) (license number ) 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 1972211787.
Provider's Profile
Full Name | Andru Alan Widener |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1182 Gibbons Rd S, Bartonville, Texas |
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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: 1972211787
- Provider Enumeration Date: 11/10/2022
- Last Update Date: 11/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153770532
- Enrollment ID: I20231211001710
Medical Identifiers
Medical identifiers for Andru Alan Widener such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972211787 | 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. Andru Alan Widener 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 |
Andru Alan Widener, 1182 Gibbons Rd S, Bartonville, TX 76226-6337 Ph: (916) 251-6351 | Andru Alan Widener, 1182 Gibbons Rd S, Bartonville, TX 76226-6337 Ph: (916) 251-6351 |
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