Mr Kenneth W Diddle, PA in Washington, PA - Medicare Physician Assistant

Mr Kenneth W Diddle, PA is a medicare enrolled "Physician Assistant - Medical" in Washington, Pennsylvania. His current practice location is 95 Leonard Ave, Suite 401, Washington, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 223-3528.

Mr Kenneth W Diddle is licensed to practice in Pennsylvania (license number MA051062) 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 1265785190.

Contact Information

	Mr Kenneth W Diddle, PA
	95 Leonard Ave, Suite 401, Washington, PA 15301-3368
	(724) 223-3528
	(724) 223-3524

Map and Direction

Provider's Profile

Full Name	Mr Kenneth W Diddle
Gender	Male
Speciality	Physician Assistant - Medical
Location	95 Leonard Ave, Washington, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265785190
Provider Enumeration Date: 10/16/2012
Last Update Date: 02/20/2017

Medicare PECOS Information:

PECOS PAC ID: 9436113438
Enrollment ID: I20041118000950

Medical Identifiers

Medical identifiers for Mr Kenneth W Diddle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265785190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	MA051062 (Pennsylvania)	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 Kenneth W Diddle 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 Kenneth W Diddle, PA 95 Leonard Ave, Suite 401, Washington, PA 15301-3368 Ph: (724) 223-3528	Mr Kenneth W Diddle, PA 95 Leonard Ave, Suite 401, Washington, PA 15301-3368 Ph: (724) 223-3528

Reviews and Comments

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Ronald Winston Bewick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 95 Leonard Ave Ste 202, Washington, PA 15301 Phone: 252-757-2663 Fax: 252-317-0829
Mrs. Taylor Nichole Sullivan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 N Franklin Dr Ste 1, Washington, PA 15301 Phone: 724-225-6500
Susan R Kowall, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 95 Leonard Ave, Building #1 Suite 300, Washington, PA 15301 Phone: 724-225-3640
Edward D Powell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 380 W Chestnut St Ste 101, Washington, PA 15301 Phone: 724-228-1414 Fax: 724-228-8579

Mr Kenneth W Diddle, PA - Medicare Physician Assistant in Washington, PA