Mr Thomas Richard Butler, PAC is a
Physician Assistant based in Ft Bragg, North Carolina. Mr Thomas Richard Butler is licensed to practice in North Carolina (license number 101534) and his current practice location is
Womack Army Medical Center, Ft Bragg, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 907-8962.
NPI number for Mr Thomas Richard Butler is 1861481145 and his current mailing address is Po Box 72639, Fort Bragg, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861481145.
Provider's Profile
| Full Name | Mr Thomas Richard Butler |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | Womack Army Medical Center, Ft Bragg, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861481145
- Provider Enumeration Date: 10/19/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Thomas Richard Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861481145 | NPI | - | NPPES |
| R40054 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 101534 (North Carolina) | 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 Thomas Richard Butler 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 Thomas Richard Butler, PAC
Po Box 72639,
Fort Bragg, NC 28307-2639
Ph: (910) 907-8962 | Mr Thomas Richard Butler, PAC
Womack Army Medical Center,
Ft Bragg, NC 28307-2639
Ph: (910) 907-8962 |
Reviews and Comments