Noah Sandusky, is a
Physician Assistant based in Mccamey, Texas. Noah Sandusky is licensed to practice in Texas (license number PA17985) and his current practice location is
2500 Hwy 305, Mccamey, Texas. He can be reached at his office (for appointments etc.) via phone at
(432) 652-8626.
NPI number for Noah Sandusky is 1790534477 and his current mailing address is 3500 Camp Bowie Blvd, Fort Worth, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790534477.
Provider's Profile
| Full Name | Noah Sandusky |
|---|
| 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790534477
- Provider Enumeration Date: 05/15/2024
- Last Update Date: 06/21/2024
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
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 |
|---|
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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