Patricia M Ackley, PA-C is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Shreveport, Louisiana. Her current practice location is
1501 Kings Hwy, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 675-5619.
Patricia M Ackley is licensed to practice in * (Not Available) (license number ) 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 1578555686.
Provider's Profile
Full Name | Patricia M Ackley |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1501 Kings Hwy, Shreveport, Louisiana |
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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: 1578555686
- Provider Enumeration Date: 08/16/2005
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254388911
- Enrollment ID: I20050405000475
Medical Identifiers
Medical identifiers for Patricia M Ackley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578555686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA04420 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Patricia M Ackley 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 |
Patricia M Ackley, PA-C 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 675-5619 | Patricia M Ackley, PA-C 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 675-5619 |
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