Daryl Gene Conklin, PAC is a
Physician Assistant based in Randle, Washington. Daryl Gene Conklin is licensed to practice in Washington (license number PA10002577) and his current practice location is
108 Kindle Rd, Randle, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 497-3333.
NPI number for Daryl Gene Conklin is 1902900020 and his current mailing address is 233 Willaims Ave, Po Box 508, Mossyrock, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902900020.
Provider's Profile
| Full Name | Daryl Gene Conklin |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 108 Kindle Rd, Randle, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902900020
- Provider Enumeration Date: 09/11/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Daryl Gene Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902900020 | NPI | - | NPPES |
| 8374738 | Medicaid | WA | |
| 1100687 | Other | WA | COMMUNITY HEALTH |
| CO3874 | Other | WA | REGENCE RIDER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA10002577 (Washington) | 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. Daryl Gene Conklin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Daryl Gene Conklin, PAC
233 Willaims Ave, Po Box 508,
Mossyrock, WA 98564-0508
Ph: (360) 983-3069 | Daryl Gene Conklin, PAC
108 Kindle Rd,
Randle, WA 98377-1411
Ph: (360) 497-3333 |
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