Mary Kimmitt Laxton, DHSC, PA-C is a medicare enrolled "Physician Assistant - Medical" in Swarthmore, Pennsylvania. Her current practice location is
97 Dartmouth Ave, Swarthmore, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 996-5416.
Mary Kimmitt Laxton is licensed to practice in Pennsylvania (license number MA002532L) 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 1902997349.
Provider's Profile
Full Name | Mary Kimmitt Laxton |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 97 Dartmouth Ave, Swarthmore, Pennsylvania |
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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: 1902997349
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395741052
- Enrollment ID: I20061020000089
Medical Identifiers
Medical identifiers for Mary Kimmitt Laxton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902997349 | NPI | - | NPPES |
MA002532L | Other | PA | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | MA002532L (Pennsylvania) | Primary |
363A00000X | Physician Assistant | MA002532L (Pennsylvania) | Secondary |
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. Mary Kimmitt Laxton 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 |
Mary Kimmitt Laxton, DHSC, PA-C 97 Dartmouth Ave, Swarthmore, PA 19081-1617 Ph: (610) 996-5416 | Mary Kimmitt Laxton, DHSC, PA-C 97 Dartmouth Ave, Swarthmore, PA 19081-1617 Ph: (610) 996-5416 |
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