Mr Craig A Ensign, MS-PAC in Provo, UT - Medicare Physician Assistant

Mr Craig A Ensign, MS-PAC is a medicare enrolled "Physician Assistant - Medical" in Provo, Utah. His current practice location is 1055 N 300 W Ste 316, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-7530.

Mr Craig A Ensign is licensed to practice in Utah (license number 293156-8906) 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 1760412605.

Contact Information

	Mr Craig A Ensign, MS-PAC
	1055 N 300 W Ste 316, Provo, UT 84604-3373
	(801) 357-7530
	(801) 357-7566

Map and Direction

Provider's Profile

Full Name	Mr Craig A Ensign
Gender	Male
Speciality	Physician Assistant - Medical
Location	1055 N 300 W Ste 316, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760412605
Provider Enumeration Date: 07/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4486701760
Enrollment ID: I20090403000129

Medical Identifiers

Medical identifiers for Mr Craig A Ensign such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760412605	NPI	-	NPPES
96-293156-1206	Other	UT	PHYS ASSISTANT LIC #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	293156-8906 (Utah)	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. Mr Craig A Ensign 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
Mr Craig A Ensign, MS-PAC 1055 N 300 W Ste 316, Provo, UT 84604-3373 Ph: (801) 357-7530	Mr Craig A Ensign, MS-PAC 1055 N 300 W Ste 316, Provo, UT 84604-3373 Ph: (801) 357-7530

Reviews and Comments

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Mr Craig A Ensign, MS-PAC - Medicare Physician Assistant in Provo, UT