Dustin Durham, is a medicare enrolled "Physician Assistant - Surgical" in New Kensington, Pennsylvania. His current practice location is
120 Dinwiddie Dr, New Kensington, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(412) 807-8137.
Dustin Durham is licensed to practice in Pennsylvania (license number MA057071) 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 1497155576.
Provider's Profile
Full Name | Dustin Durham |
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Gender | Male |
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Speciality | Physician Assistant - Surgical |
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Location | 120 Dinwiddie Dr, New Kensington, 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: 1497155576
- Provider Enumeration Date: 08/26/2014
- Last Update Date: 10/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709008360
- Enrollment ID: I20141114000983
Medical Identifiers
Medical identifiers for Dustin Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497155576 | NPI | - | NPPES |
103205944 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | MA057071 (Pennsylvania) | 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. Dustin Durham 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 |
Dustin Durham, 120 Dinwiddie Dr, New Kensington, PA 15068-9392 Ph: (412) 807-8137 | Dustin Durham, 120 Dinwiddie Dr, New Kensington, PA 15068-9392 Ph: (412) 807-8137 |
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