Dale T Ralston, PA is a medicare enrolled "Physician Assistant - Medical" in Eddystone, Pennsylvania. Her current practice location is
1510 Chester Pike, Suite 130, Eddystone, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 521-6063.
Dale T Ralston is licensed to practice in Pennsylvania (license number OA000732) 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 1326201732.
Provider's Profile
Full Name | Dale T Ralston |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1510 Chester Pike, Eddystone, Pennsylvania |
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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: 1326201732
- Provider Enumeration Date: 07/07/2008
- Last Update Date: 03/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 8123189404
- Enrollment ID: I20081204000740
Medical Identifiers
Medical identifiers for Dale T Ralston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326201732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | OA000732 (Pennsylvania) | Primary |
363AM0700X | Physician Assistant - Medical | MA000158L (Pennsylvania) | Secondary |
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. Dale T Ralston 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 |
Dale T Ralston, PA Po Box 199, Ridley Park, PA 19078-0199 Ph: (610) 521-6063 | Dale T Ralston, PA 1510 Chester Pike, Suite 130, Eddystone, PA 19022-1375 Ph: (610) 521-6063 |
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