Anthony Daniel Palm, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Saint Clair Shores, Michigan. His current practice location is
30512 Taylor St, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 944-6130.
Anthony Daniel Palm 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 1649912833.
Provider's Profile
Full Name | Anthony Daniel Palm |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 30512 Taylor St, Saint Clair Shores, Michigan |
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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: 1649912833
- Provider Enumeration Date: 04/08/2022
- Last Update Date: 04/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860868882
- Enrollment ID: I20221017001610
Medical Identifiers
Medical identifiers for Anthony Daniel Palm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649912833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Anthony Daniel Palm 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 |
Anthony Daniel Palm, 30512 Taylor St, Saint Clair Shores, MI 48082-1548 Ph: (586) 944-6130 | Anthony Daniel Palm, 30512 Taylor St, Saint Clair Shores, MI 48082-1548 Ph: (586) 944-6130 |
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