Ian R Farrell, PA-C is a
Physician Assistant based in King City, California. Ian R Farrell is licensed to practice in California (license number PA16288) and his current practice location is
210 Canal St, King City, California. He can be reached at his office (for appointments etc.) via phone at
(831) 385-5471.
NPI number for Ian R Farrell is 1497731053 and his current mailing address is 210 Canal St, King City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497731053.
Provider's Profile
| Full Name | Ian R Farrell |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
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| Location | 210 Canal St, King City, California |
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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: 1497731053
- Provider Enumeration Date: 12/15/2005
- Last Update Date: 08/06/2015
Medical Identifiers
Medical identifiers for Ian R Farrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497731053 | NPI | - | NPPES |
| PA162880 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA16288 (California) | 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. Ian R Farrell 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 |
|---|
Ian R Farrell, PA-C
210 Canal St,
King City, CA 93930-3432
Ph: (831) 385-5471 | Ian R Farrell, PA-C
210 Canal St,
King City, CA 93930-3432
Ph: (831) 385-5471 |
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