Mr Leslie Tharon Cranick, PA in Saint Louis, MO

Mr Leslie Tharon Cranick, PA is a medicare enrolled "Physician Assistant" in Saint Louis, Missouri. His current practice location is 12345 W Bend Dr, Suite 200, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 843-8000.

Mr Leslie Tharon Cranick is licensed to practice in Missouri (license number 2005036196) 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 1003846700.

Contact Information

	Mr Leslie Tharon Cranick, PA
	12345 W Bend Dr, Suite 200, Saint Louis, MO 63128-2104
	(314) 843-8000
	(314) 843-3004

Map and Direction

Provider's Profile

Full Name	Mr Leslie Tharon Cranick
Gender	Male
Speciality	Physician Assistant
Location	12345 W Bend Dr, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003846700
Provider Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1557318706
Enrollment ID: I20080807000321

Medical Identifiers

Medical identifiers for Mr Leslie Tharon Cranick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003846700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2005036196 (Missouri)	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 Leslie Tharon Cranick 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 Leslie Tharon Cranick, PA 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128-2104 Ph: (314) 843-8000	Mr Leslie Tharon Cranick, PA 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128-2104 Ph: (314) 843-8000

Reviews and Comments

Physician Assistant Nurses in Saint Louis, MO

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Mr Leslie Tharon Cranick, PA - Medicare Physician Assistant in Saint Louis, MO