Terence Vaughan Connors, PA is a
Physician Assistant based in Lake Suzy, Florida. Terence Vaughan Connors is licensed to practice in New York (license number 000805) and his current practice location is
12909 Sw Pembroke Cir N, Lake Suzy, Florida. He can be reached at his office (for appointments etc.) via phone at
(941) 255-0770.
NPI number for Terence Vaughan Connors is 1144201351 and his current mailing address is 12909 Sw Pembroke Cir N, Lake Suzy, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144201351.
Provider's Profile
| Full Name | Terence Vaughan Connors |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 12909 Sw Pembroke Cir N, Lake Suzy, 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: 1144201351
- Provider Enumeration Date: 11/07/2005
- Last Update Date: 06/24/2016
Medical Identifiers
Medical identifiers for Terence Vaughan Connors such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144201351 | NPI | - | NPPES |
| 02347859 | Medicaid | NY | |
| P00012841 | Other | NY | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 000805 (New York) | 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. Terence Vaughan Connors 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 |
|---|
Terence Vaughan Connors, PA
12909 Sw Pembroke Cir N,
Lake Suzy, FL 34269-6937
Ph: (941) 255-0770 | Terence Vaughan Connors, PA
12909 Sw Pembroke Cir N,
Lake Suzy, FL 34269-6937
Ph: (941) 255-0770 |
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