Mr Tommy Dean Hammerbeck Jr, SA-C/CST is a
Physician Assistant - Surgical based in Kane, Pennsylvania. Mr Tommy Dean Hammerbeck Jr is licensed to practice in Pennsylvania (license number 07-263 SA-C) and his current practice location is
4372 Route 6, Kane, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(814) 837-8585.
NPI number for Mr Tommy Dean Hammerbeck Jr is 1487841169 and his current mailing address is Po Box 283, 35 Church Street, Ludlow, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487841169.
Provider's Profile
| Full Name | Mr Tommy Dean Hammerbeck Jr |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Surgical |
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| Location | 4372 Route 6, Kane, Pennsylvania |
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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: 1487841169
- Provider Enumeration Date: 09/26/2007
- Last Update Date: 10/18/2007
Medical Identifiers
Medical identifiers for Mr Tommy Dean Hammerbeck Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487841169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 07-263 SA-C (Pennsylvania) | Primary |
| 246ZS0410X | Specialist/technologist, Other - Surgical Technologist | (* (Not Available)) | Secondary |
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 Tommy Dean Hammerbeck Jr 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 Tommy Dean Hammerbeck Jr, SA-C/CST
Po Box 283, 35 Church Street,
Ludlow, PA 16333-0283
Ph: (814) 945-6350 | Mr Tommy Dean Hammerbeck Jr, SA-C/CST
4372 Route 6,
Kane, PA 16735-3060
Ph: (814) 837-8585 |
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