Ms Phyllis J Kutch, PA-C is a
Physician Assistant - Medical based in Mauldin, South Carolina. Ms Phyllis J Kutch is licensed to practice in South Carolina (license number PA1165) and her current practice location is
11 Jenkins Street, Mauldin, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 288-1941.
NPI number for Ms Phyllis J Kutch is 1821144304 and her current mailing address is 11 Jenkins St, Mauldin, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821144304.
Provider's Profile
| Full Name | Ms Phyllis J Kutch |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 11 Jenkins Street, Mauldin, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821144304
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 12/06/2007
Medical Identifiers
Medical identifiers for Ms Phyllis J Kutch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821144304 | NPI | - | NPPES |
| 0506PA | Medicaid | SC | |
| GP4225 | Other | SC | MEDICAID GROUP NUMBER |
| 8272 | Other | SC | MEDICARE GROUP NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA1165 (South 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. Ms Phyllis J Kutch 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 |
|---|
Ms Phyllis J Kutch, PA-C
11 Jenkins St,
Mauldin, SC 29662-2412
Ph: (864) 288-1941 | Ms Phyllis J Kutch, PA-C
11 Jenkins Street,
Mauldin, SC 29662-2412
Ph: (864) 288-1941 |
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