Mr Michael Timothy Devereux, PA-C is a
Physician Assistant - Medical based in Sunol, California. Mr Michael Timothy Devereux is licensed to practice in California (license number PA12220) and his current practice location is
11925 Main St, Sunol, California. He can be reached at his office (for appointments etc.) via phone at
(925) 862-2130.
NPI number for Mr Michael Timothy Devereux is 1225217979 and his current mailing address is Po Box 379, Sunol, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225217979.
Provider's Profile
Full Name | Mr Michael Timothy Devereux |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 11925 Main St, Sunol, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225217979
- Provider Enumeration Date: 10/30/2007
- Last Update Date: 01/24/2014
Medical Identifiers
Medical identifiers for Mr Michael Timothy Devereux such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225217979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA12220 (California) | 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 Michael Timothy Devereux 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 Michael Timothy Devereux, PA-C Po Box 379, Sunol, CA 94586-0379 Ph: () - | Mr Michael Timothy Devereux, PA-C 11925 Main St, Sunol, CA 94586-9490 Ph: (925) 862-2130 |
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