Gregory Cannistraci, PA-C is a
Physician Assistant based in Camano Island, Washington. Gregory Cannistraci is licensed to practice in Washington (license number PA3696) and his current practice location is
771 Fox Trot Way, Camano Island, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 629-6205.
NPI number for Gregory Cannistraci is 1861795452 and his current mailing address is 771 Fox Trot Way, Camano Island, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861795452.
Provider's Profile
Full Name | Gregory Cannistraci |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 771 Fox Trot Way, Camano Island, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861795452
- Provider Enumeration Date: 12/21/2010
- Last Update Date: 12/21/2010
Medical Identifiers
Medical identifiers for Gregory Cannistraci such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861795452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA3696 (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. Gregory Cannistraci 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 |
Gregory Cannistraci, PA-C 771 Fox Trot Way, Camano Island, WA 98282-8861 Ph: (360) 629-6205 | Gregory Cannistraci, PA-C 771 Fox Trot Way, Camano Island, WA 98282-8861 Ph: (360) 629-6205 |
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