Paul R Patterson, PA is a
Physician Assistant based in Eafb, Florida. Paul R Patterson is licensed to practice in Florida (license number PA 910843) and his current practice location is
Bldg 4315 El Salvador Way, Eafb, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 885-9979.
NPI number for Paul R Patterson is 1194870212 and his current mailing address is 2468 Bell Ridge Dr, Crestview, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194870212.
Provider's Profile
| Full Name | Paul R Patterson |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | Bldg 4315 El Salvador Way, Eafb, Florida |
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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: 1194870212
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 07/15/2015
Medical Identifiers
Medical identifiers for Paul R Patterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194870212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA 910843 (Florida) | 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. Paul R Patterson 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 |
|---|
Paul R Patterson, PA
2468 Bell Ridge Dr,
Crestview, FL 32536-1811
Ph: (910) 916-9264 | Paul R Patterson, PA
Bldg 4315 El Salvador Way,
Eafb, FL 32542
Ph: (850) 885-9979 |
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