Mrs Autumn M Hultz, PA-C is a medicare enrolled "Physician Assistant - Medical" in Fayette City, Pennsylvania. Her current practice location is
1109 2nd St, Fayette City, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 797-3374.
Mrs Autumn M Hultz is licensed to practice in Pennsylvania (license number MA054618) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639488067.
Provider's Profile
Full Name | Mrs Autumn M Hultz |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1109 2nd St, Fayette City, Pennsylvania |
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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: 1639488067
- Provider Enumeration Date: 10/04/2010
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062698947
- Enrollment ID: I20110510000356
Medical Identifiers
Medical identifiers for Mrs Autumn M Hultz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639488067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | MA054618 (Pennsylvania) | 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. Mrs Autumn M Hultz 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 |
Mrs Autumn M Hultz, PA-C 120 5th Ave, Pittsburgh, PA 15222-3000 Ph: (844) 438-3226 | Mrs Autumn M Hultz, PA-C 1109 2nd St, Fayette City, PA 15438-1033 Ph: (724) 797-3374 |
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