Mr Nicholas Neal Entsminger, PA-C is a medicare enrolled "Physician Assistant" in Mad River, California. His current practice location is
321 Van Duzen Rd, Mad River, California. You can reach out to his office (for appointments etc.) via phone at
(707) 574-6616.
Mr Nicholas Neal Entsminger is licensed to practice in California (license number 51608) 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 1013328566.
Provider's Profile
Full Name | Mr Nicholas Neal Entsminger |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 321 Van Duzen Rd, Mad River, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013328566
- Provider Enumeration Date: 05/17/2014
- Last Update Date: 06/06/2014
Medicare PECOS Information:
- PECOS PAC ID: 4880812825
- Enrollment ID: I20140904000853
Medical Identifiers
Medical identifiers for Mr Nicholas Neal Entsminger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013328566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 51608 (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 Nicholas Neal Entsminger 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 Nicholas Neal Entsminger, PA-C Po Box 132, Bridgeville, CA 95526-0132 Ph: (707) 574-6616 | Mr Nicholas Neal Entsminger, PA-C 321 Van Duzen Rd, Mad River, CA 95526-9508 Ph: (707) 574-6616 |
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