Mariah Conyers, PA-C is a medicare enrolled "Physician Assistant" in Hudson, Colorado. Her current practice location is
565 Remington Dr, Hudson, Colorado. You can reach out to her office (for appointments etc.) via phone at
(402) 910-1019.
Mariah Conyers is licensed to practice in Illinois (license number 085008522) 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 1720654478.
Provider's Profile
Full Name | Mariah Conyers |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 565 Remington Dr, Hudson, Colorado |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720654478
- Provider Enumeration Date: 06/02/2021
- Last Update Date: 12/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406248509
- Enrollment ID: I20220124000622
Medical Identifiers
Medical identifiers for Mariah Conyers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720654478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 10003772A (Indiana) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 085008522 (Illinois) | 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. Mariah Conyers 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 |
Mariah Conyers, PA-C 565 Remington Dr, Hudson, CO 80642-7408 Ph: (402) 910-1019 | Mariah Conyers, PA-C 565 Remington Dr, Hudson, CO 80642-7408 Ph: (402) 910-1019 |
Reviews and Comments