Mr Eugene Dale Beverly, MPA-C in Fort Gordon, GA

Mr Eugene Dale Beverly, MPA-C is a medicare enrolled "Physician Assistant" in Fort Gordon, Georgia. His current practice location is 300 W Hospital Rd, Connelly Health Clinic, Fort Gordon, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 787-5170.

Mr Eugene Dale Beverly is licensed to practice in * (Not Available) (license number ) 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 1861657447.

Contact Information

	Mr Eugene Dale Beverly, MPA-C
	300 W Hospital Rd, Connelly Health Clinic, Fort Gordon, GA 30905-5741
	(706) 787-5170
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Eugene Dale Beverly
Gender	Male
Speciality	Physician Assistant
Location	300 W Hospital Rd, Fort Gordon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861657447
Provider Enumeration Date: 07/23/2008
Last Update Date: 08/13/2014

Medicare PECOS Information:

PECOS PAC ID: 8022240530
Enrollment ID: I20140416001167

Medical Identifiers

Medical identifiers for Mr Eugene Dale Beverly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861657447	NPI	-	NPPES
1025323	Other	GA	NCCPA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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 Eugene Dale Beverly 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 Eugene Dale Beverly, MPA-C 1584 Avalon Ave, Augusta, GA 30909-9803 Ph: (706) 860-0867	Mr Eugene Dale Beverly, MPA-C 300 W Hospital Rd, Connelly Health Clinic, Fort Gordon, GA 30905-5741 Ph: (706) 787-5170

Reviews and Comments

Physician Assistant Nurses in Fort Gordon, GA

Mr. Gordon Andrew Marshall, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 West Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905 Phone: 706-787-2720 Fax: 706-787-8176
Mr. Nathan David Tavolieri, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Building 329, Fort Gordon, GA 30905 Phone: 706-787-3805
Mrs. Sunny Maria Holden, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 E Hospital Road, Building T-300, Eisenhower Army Med Center Orthopedic Surgery Dept, Fort Gordon, GA 30905 Phone: 706-787-6157 Fax: 706-787-2901
Ms. Maria Teresa Richard, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-727-2720 Fax: 706-787-8176
Mr. William James Nieding, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 East H, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30905 Phone: 706-787-2862
Ms. Kim Nmn Walker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-8020
Mr. George Timothy Cassidy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Attn Credentials, Fort Gordon, GA 30905 Phone: 706-787-2720 Fax: 706-787-8176

Mr Eugene Dale Beverly, MPA-C - Medicare Physician Assistant in Fort Gordon, GA