Todd M Kreykes, PAC is a
Physician Assistant based in South Boardman, Michigan. Todd M Kreykes is licensed to practice in Michigan (license number 069428) and his current practice location is
4713 Pine St Sw, South Boardman, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 369-2656.
NPI number for Todd M Kreykes is 1750366308 and his current mailing address is 4713 Pine St Sw, South Boardman, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750366308.
Provider's Profile
| Full Name | Todd M Kreykes |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 4713 Pine St Sw, South Boardman, Michigan |
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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: 1750366308
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 12/11/2012
Medical Identifiers
Medical identifiers for Todd M Kreykes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750366308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 069428 (Michigan) | 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. Todd M Kreykes 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 |
|---|
Todd M Kreykes, PAC
4713 Pine St Sw,
South Boardman, MI 49680-9761
Ph: (231) 369-2656 | Todd M Kreykes, PAC
4713 Pine St Sw,
South Boardman, MI 49680-9761
Ph: (231) 369-2656 |
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