Darin O'shea Stites Ii, PA-C is a medicare enrolled "Physician Assistant" in Ridgely, Tennessee. His current practice location is
1760 Tank Two Rd, Ridgely, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(720) 512-1046.
Darin O'shea Stites Ii is licensed to practice in Tennessee (license number 6095) 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 1871335679.
Provider's Profile
Full Name | Darin O'shea Stites Ii |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1760 Tank Two Rd, Ridgely, Tennessee |
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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: 1871335679
- Provider Enumeration Date: 06/11/2024
- Last Update Date: 08/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214475094
- Enrollment ID: I20240812001177
Medical Identifiers
Medical identifiers for Darin O'shea Stites Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871335679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 6095 (Tennessee) | 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. Darin O'shea Stites Ii 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 |
Darin O'shea Stites Ii, PA-C 1760 Tank Two Rd, Ridgely, TN 38080-6201 Ph: (720) 512-1046 | Darin O'shea Stites Ii, PA-C 1760 Tank Two Rd, Ridgely, TN 38080-6201 Ph: (720) 512-1046 |
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