Timothy A Mccreary, PA is a medicare enrolled "Physician Assistant" in Fort Duchesne, Utah. His current practice location is
6822 East 1000 South, Fort Duchesne, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 725-6874.
Timothy A Mccreary is licensed to practice in Utah (license number 7263849-1206) 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 1487624797.
Provider's Profile
Full Name | Timothy A Mccreary |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 6822 East 1000 South, Fort Duchesne, Utah |
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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: 1487624797
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 04/04/2013
Medicare PECOS Information:
- PECOS PAC ID: 4385662535
- Enrollment ID: I20110126000180
Medical Identifiers
Medical identifiers for Timothy A Mccreary such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487624797 | NPI | - | NPPES |
806590100 | Medicaid | ID | |
700000000009 | Medicaid | UT | |
H1232 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA-18491 (California) | Secondary |
363A00000X | Physician Assistant | 7263849-1206 (Utah) | 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. Timothy A Mccreary 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 |
Timothy A Mccreary, PA 6822 East 1000 South, Fort Duchesne, UT 84026 Ph: (435) 725-6874 | Timothy A Mccreary, PA 6822 East 1000 South, Fort Duchesne, UT 84026 Ph: (435) 725-6874 |
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