Mrs Jill Darlene Pridgen, PA-C, MS is a medicare enrolled "Physician Assistant" in Mabank, Texas. Her current practice location is
604 S 3rd St, Mabank, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 887-1073.
Mrs Jill Darlene Pridgen is licensed to practice in Texas (license number PA 01037) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104021013.
Provider's Profile
| Full Name | Mrs Jill Darlene Pridgen |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 604 S 3rd St, Mabank, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Jill Darlene Pridgen attended and graduated from in
NPI Data:
- NPI Number: 1104021013
- Provider Enumeration Date: 06/19/2007
- Last Update Date: 10/26/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Jill Darlene Pridgen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104021013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA 01037 (Texas) | 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 Jill Darlene Pridgen 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 Jill Darlene Pridgen, PA-C, MS
1021 County Road 2105,
Kemp, TX 75143-7501
Ph: (903) 432-9863 | Mrs Jill Darlene Pridgen, PA-C, MS
604 S 3rd St,
Mabank, TX 75147-2700
Ph: (903) 887-1073 |
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