Mr Matiyaga Ramirez Jardiniano, PA-C is a
Physician Assistant - Medical based in Va. Beach, Virginia. Mr Matiyaga Ramirez Jardiniano is licensed to practice in Virginia (license number 0110840340) and his current practice location is
4844 Berrywood Rd., Va. Beach, Virginia. He can be reached at his office (for appointments etc.) via phone at
(757) 962-0778.
NPI number for Mr Matiyaga Ramirez Jardiniano is 1861772295 and his current mailing address is 4844 Berrywood Rd., Va. Beach, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861772295.
Provider's Profile
| Full Name | Mr Matiyaga Ramirez Jardiniano |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 4844 Berrywood Rd., Va. Beach, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861772295
- Provider Enumeration Date: 08/17/2011
- Last Update Date: 01/11/2013
Medical Identifiers
Medical identifiers for Mr Matiyaga Ramirez Jardiniano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861772295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 0110840340 (Virginia) | Primary |
| 247200000X | Technician, Other | (* (Not Available)) | Secondary |
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 Matiyaga Ramirez Jardiniano 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 Matiyaga Ramirez Jardiniano, PA-C
4844 Berrywood Rd.,
Va. Beach, VA 23464-5871
Ph: (757) 962-0778 | Mr Matiyaga Ramirez Jardiniano, PA-C
4844 Berrywood Rd.,
Va. Beach, VA 23464-5871
Ph: (757) 962-0778 |
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