Mr Matthew Willard, PA-C is a
Physician Assistant based in Toksook Bay, Alaska. Mr Matthew Willard is licensed to practice in Alaska (license number 629) and his current practice location is
1 Toksook Bay Sub-regional Clinic, Toksook Bay, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 543-6300.
NPI number for Mr Matthew Willard is 1336360304 and his current mailing address is Po Box 37028, Toksook Bay, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336360304.
Provider's Profile
| Full Name | Mr Matthew Willard |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
|---|
| Location | 1 Toksook Bay Sub-regional Clinic, Toksook Bay, Alaska |
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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: 1336360304
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 09/07/2010
Medical Identifiers
Medical identifiers for Mr Matthew Willard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336360304 | NPI | - | NPPES |
| MDA0196 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 629 (Alaska) | 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 Matthew Willard 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 Matthew Willard, PA-C
Po Box 37028,
Toksook Bay, AK 99637
Ph: (907) 427-3500 | Mr Matthew Willard, PA-C
1 Toksook Bay Sub-regional Clinic,
Toksook Bay, AK 99637
Ph: (907) 543-6300 |
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