Kim R Mcfadden, PA is a medicare enrolled "Physician Assistant" in Providence Forge, Virginia. Her current practice location is
9010 Pocahontas Trail, Providence Forge, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 966-5208.
Kim R Mcfadden is licensed to practice in Virginia (license number 0110002478) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295879963.
Provider's Profile
Full Name | Kim R Mcfadden |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 9010 Pocahontas Trail, Providence Forge, Virginia |
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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: 1295879963
- Provider Enumeration Date: 02/16/2007
- Last Update Date: 03/13/2008
Medicare PECOS Information:
- PECOS PAC ID: 2466547641
- Enrollment ID: I20170804001028
Medical Identifiers
Medical identifiers for Kim R Mcfadden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295879963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0110002478 (Virginia) | 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. Kim R Mcfadden 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 |
Kim R Mcfadden, PA Po Box 7, Quinton, VA 23141-0007 Ph: (804) 932-1005 | Kim R Mcfadden, PA 9010 Pocahontas Trail, Providence Forge, VA 23140 Ph: (804) 966-5208 |
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