Emily Street, is a
Physician Assistant based in Witt, Illinois. Emily Street is licensed to practice in * (Not Available) (license number ) and her current practice location is
224 W Middleton St, Po 363, Witt, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 710-3999.
NPI number for Emily Street is 1124843057 and her current mailing address is 224 W Middleton St, Po 363, Witt, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124843057.
Provider's Profile
Full Name | Emily Street |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 224 W Middleton St, Witt, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124843057
- Provider Enumeration Date: 11/15/2024
- Last Update Date: 11/15/2024
Medical Identifiers
Medical identifiers for Emily Street such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124843057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (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. Emily Street 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 |
Emily Street, 224 W Middleton St, Po 363, Witt, IL 62094-1265 Ph: () - | Emily Street, 224 W Middleton St, Po 363, Witt, IL 62094-1265 Ph: (217) 710-3999 |
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