Noah Sandusky, is a medicare enrolled "Physician Assistant" in Mccamey, Texas. His current practice location is
2500 Hwy 305, Mccamey, Texas. You can reach out to his office (for appointments etc.) via phone at
(432) 652-8626.
Noah Sandusky is licensed to practice in Texas (license number PA17985) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790534477.
Provider's Profile
Full Name | Noah Sandusky |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 2500 Hwy 305, Mccamey, Texas |
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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: 1790534477
- Provider Enumeration Date: 05/15/2024
- Last Update Date: 06/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345784625
- Enrollment ID: I20240627001390
Medical Identifiers
Medical identifiers for Noah Sandusky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790534477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA17985 (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. Noah Sandusky 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 |
Noah Sandusky, 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 Ph: () - | Noah Sandusky, 2500 Hwy 305, Mccamey, TX 79752 Ph: (432) 652-8626 |
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