Mr Dennis Waxman, PA is a
Physician Assistant based in Ferndale, New York. Mr Dennis Waxman is licensed to practice in New York (license number 001355) and his current practice location is
111 Sullivan Ave, Ferndale, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 292-6630.
NPI number for Mr Dennis Waxman is 1902997091 and his current mailing address is Po Box 421, Crmc Physician Services, Harris, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902997091.
Provider's Profile
| Full Name | Mr Dennis Waxman |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 111 Sullivan Ave, Ferndale, New York |
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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: 1902997091
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 04/14/2008
Medical Identifiers
Medical identifiers for Mr Dennis Waxman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902997091 | NPI | - | NPPES |
| 01969891 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 001355 (New York) | 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 Dennis Waxman 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 |
|---|
Mr Dennis Waxman, PA
Po Box 421, Crmc Physician Services,
Harris, NY 12742-0421
Ph: (845) 794-9864 | Mr Dennis Waxman, PA
111 Sullivan Ave,
Ferndale, NY 12734-4315
Ph: (845) 292-6630 |
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