Mr Terry A Gander, PA is a medicare enrolled "Physician Assistant" in Westfield, Wisconsin. His current practice location is
N4993 6th Dr, Westfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 296-2121.
Mr Terry A Gander is licensed to practice in Illinois (license number 085-004565) 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 1528391539.
Provider's Profile
Full Name | Mr Terry A Gander |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | N4993 6th Dr, Westfield, Wisconsin |
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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: 1528391539
- Provider Enumeration Date: 09/09/2009
- Last Update Date: 10/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274674460
- Enrollment ID: I20100111000238
Medical Identifiers
Medical identifiers for Mr Terry A Gander such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528391539 | NPI | - | NPPES |
085-004565 | Other | IL | STATE LICENSE |
2500-23 | Other | WI | WI LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2500-23 (Wisconsin) | Secondary |
363A00000X | Physician Assistant | 085-004565 (Illinois) | 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 Terry A Gander 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 Terry A Gander, PA N4993 6th Dr, Westfield, WI 53964-8200 Ph: (608) 296-2121 | Mr Terry A Gander, PA N4993 6th Dr, Westfield, WI 53964-8200 Ph: (608) 296-2121 |
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