Freddy Creekmore Jr, PA-C is a medicare enrolled "Physician Assistant" provider in Wilkesboro, North Carolina. His current practice location is
1600 River St, Wilkesboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 646-7272.
Freddy Creekmore Jr is licensed to practice in North Carolina (license number 0010-08618) 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 1255678280.
Healthcare Provider's Profile
Full Name | Freddy Creekmore Jr |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1600 River St, Wilkesboro, North Carolina |
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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: 1255678280
- Provider Enumeration Date: 01/10/2013
- Last Update Date: 12/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769739473
- Enrollment ID: I20180725002966
Medical Identifiers
Medical identifiers for Freddy Creekmore Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255678280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P1200X | Pharmacist - Pharmacotherapy | 9987 (Kentucky) | Secondary |
1835P1200X | Pharmacist - Pharmacotherapy | 31759 (Tennessee) | Secondary |
1835P1200X | Pharmacist - Pharmacotherapy | 1523731701 (Utah) | Secondary |
363A00000X | Physician Assistant | 0110006193 (Virginia) | Secondary |
363A00000X | Physician Assistant | 0010-08618 (North Carolina) | 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. Freddy Creekmore Jr 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 |
Freddy Creekmore Jr, PA-C 1600 River St, Wilkesboro, NC 28697-7630 Ph: (336) 646-7272 | Freddy Creekmore Jr, PA-C 1600 River St, Wilkesboro, NC 28697-7630 Ph: (336) 646-7272 |
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