Mr Joseph Kyle Mcconnaughey, PA-S is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Winterville, North Carolina. His current practice location is
1164 Charlie Branch Dr, Winterville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 770-5146.
Mr Joseph Kyle Mcconnaughey 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 1336874486.
Provider's Profile
Full Name | Mr Joseph Kyle Mcconnaughey |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1164 Charlie Branch Dr, Winterville, North Carolina |
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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: 1336874486
- Provider Enumeration Date: 07/22/2022
- Last Update Date: 07/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214300409
- Enrollment ID: I20230309001249
Medical Identifiers
Medical identifiers for Mr Joseph Kyle Mcconnaughey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336874486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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 Joseph Kyle Mcconnaughey 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 Joseph Kyle Mcconnaughey, PA-S 1164 Charlie Branch Dr, Winterville, NC 28590-8054 Ph: (704) 770-5146 | Mr Joseph Kyle Mcconnaughey, PA-S 1164 Charlie Branch Dr, Winterville, NC 28590-8054 Ph: (704) 770-5146 |
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