Mark Anthony Bryant, PA-C is a
Physician Assistant based in Whitley City, Kentucky. Mark Anthony Bryant is licensed to practice in Kentucky (license number PA958) and his current practice location is
19 Medical Loop, Suite 3, Whitley City, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 376-5391.
NPI number for Mark Anthony Bryant is 1174646087 and his current mailing address is Po Box 99, Whitley City, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174646087.
Provider's Profile
| Full Name | Mark Anthony Bryant |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 19 Medical Loop, Whitley City, Kentucky |
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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: 1174646087
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mark Anthony Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174646087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA958 (Kentucky) | 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. Mark Anthony Bryant 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 |
|---|
Mark Anthony Bryant, PA-C
Po Box 99,
Whitley City, KY 42653-0099
Ph: (606) 376-5391 | Mark Anthony Bryant, PA-C
19 Medical Loop, Suite 3,
Whitley City, KY 42653
Ph: (606) 376-5391 |
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