Ursula Treadaway, PA-C is a medicare enrolled "Physician Assistant" in Kodak, Tennessee. She went to Lincoln Memorial University Medical Department and graduated in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
3609 Outdoor Sportsman Pl Ste 7, Kodak, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(652) 815-9228.
Ursula Treadaway is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104364918.
Provider's Profile
| Full Name | Ursula Treadaway |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 13 Years |
|---|
| Location | 3609 Outdoor Sportsman Pl Ste 7, Kodak, Tennessee |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Ursula Treadaway attended and graduated from Lincoln Memorial University Medical Department in 2011
NPI Data:
- NPI Number: 1104364918
- Provider Enumeration Date: 02/01/2017
- Last Update Date: 12/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 2466704994
- Enrollment ID: I20200522001587
Medical Identifiers
Medical identifiers for Ursula Treadaway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104364918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (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. Ursula Treadaway 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 |
|---|
Ursula Treadaway, PA-C
Po Box 3439,
North Myrtle Beach, SC 29582-0439
Ph: (843) 839-4447 | Ursula Treadaway, PA-C
3609 Outdoor Sportsman Pl Ste 7,
Kodak, TN 37764-1477
Ph: (652) 815-9228 |
Reviews and Comments