Michael K Gaddy, PA-C is a medicare enrolled "Physician Assistant - Medical" in Mountain View, Missouri. His current practice location is
104 East Highway 60, Mountain View, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 934-2251.
Michael K Gaddy is licensed to practice in Missouri (license number 112033) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871675702.
Provider's Profile
Full Name | Michael K Gaddy |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 104 East Highway 60, Mountain View, Missouri |
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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: 1871675702
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 5294785655
- Enrollment ID: I20050125000143
Medical Identifiers
Medical identifiers for Michael K Gaddy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871675702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 112033 (Missouri) | 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. Michael K Gaddy 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 |
Michael K Gaddy, PA-C Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Michael K Gaddy, PA-C 104 East Highway 60, Mountain View, MO 65548 Ph: (417) 934-2251 |
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