Mr Gerald A Dahlstrom, PA-C is a
Physician Assistant based in Sutton, Massachusetts. Mr Gerald A Dahlstrom is licensed to practice in Massachusetts (license number 32) and his current practice location is
178 Putnam Hill Rd, Sutton, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(508) 865-6217.
NPI number for Mr Gerald A Dahlstrom is 1639144843 and his current mailing address is 178 Putnam Hill Rd, Sutton, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639144843.
Provider's Profile
Full Name | Mr Gerald A Dahlstrom |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 178 Putnam Hill Rd, Sutton, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639144843
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 11/15/2021
Medical Identifiers
Medical identifiers for Mr Gerald A Dahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639144843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA32 (Massachusetts) | Secondary |
363A00000X | Physician Assistant | 32 (Massachusetts) | 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 Gerald A Dahlstrom 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 Gerald A Dahlstrom, PA-C 178 Putnam Hill Rd, Sutton, MA 01590-1117 Ph: (508) 865-6217 | Mr Gerald A Dahlstrom, PA-C 178 Putnam Hill Rd, Sutton, MA 01590-1117 Ph: (508) 865-6217 |
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