Gary Crandell, PA is a medicare enrolled "Physician Assistant" in Bagdad, Arizona. His current practice location is
12 Hope Dr, Bagdad, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 633-4111.
Gary Crandell is licensed to practice in Arizona (license number 2203) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528087251.
Provider's Profile
| Full Name | Gary Crandell |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 12 Hope Dr, Bagdad, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gary Crandell attended and graduated from in
NPI Data:
- NPI Number: 1528087251
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 09/02/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Gary Crandell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528087251 | NPI | - | NPPES |
| 567753 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2203 (Arizona) | 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. Gary Crandell 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 |
|---|
Gary Crandell, PA
Po Box 1169, 1891 Bigler Lane,
Heber, AZ 85928-1169
Ph: (928) 633-5922 | Gary Crandell, PA
12 Hope Dr,
Bagdad, AZ 86321
Ph: (928) 633-4111 |
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