Angie M Eubanks, PAC is a medicare enrolled "Physician Assistant" in Pinckneyville, Illinois. Her current practice location is
5383 State Route 154, Pinckneyville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 357-2131.
Angie M Eubanks is licensed to practice in Illinois (license number 085-000595) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306800396.
Provider's Profile
Full Name | Angie M Eubanks |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 5383 State Route 154, Pinckneyville, Illinois |
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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: 1306800396
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 07/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830413798
- Enrollment ID: I20150123001429
Medical Identifiers
Medical identifiers for Angie M Eubanks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306800396 | NPI | - | NPPES |
342557 | Other | IL | HEALTHLINK |
970020589 | Other | IL | MEDICARE RAILROAD |
07320380 | Other | IL | BCBS |
376006955007 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085-000595 (Illinois) | 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. Angie M Eubanks 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 |
Angie M Eubanks, PAC 5383 State Route 154, Pinckneyville, IL 62274-3342 Ph: (618) 357-2131 | Angie M Eubanks, PAC 5383 State Route 154, Pinckneyville, IL 62274-3342 Ph: (618) 357-2131 |
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