Toni Denise Muckala, PA-C, PHARMD is a medicare enrolled "Physician Assistant" provider in Peoria, Arizona. Her current practice location is
6739 W Cactus Rd, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at
(833) 242-0100.
Toni Denise Muckala is licensed to practice in Arizona (license number 5698) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124008016.
Healthcare Provider's Profile
| Full Name | Toni Denise Muckala |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 6739 W Cactus Rd, Peoria, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124008016
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 10/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426023086
- Enrollment ID: I20141118001028
Medical Identifiers
Medical identifiers for Toni Denise Muckala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124008016 | NPI | - | NPPES |
| 388528300 | Medicaid | MN | |
| 9530 | Other | MN | STATE OF MINNESOTA PA LICENSE |
| 5698 | Other | AZ | STATE OF ARIZONA PA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 118389 (Minnesota) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 9530 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 5698 (Arizona) | 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. Toni Denise Muckala 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 |
|---|
Toni Denise Muckala, PA-C, PHARMD
5318 E Hermosa Vista Dr,
Mesa, AZ 85215-1909
Ph: () - | Toni Denise Muckala, PA-C, PHARMD
6739 W Cactus Rd,
Peoria, AZ 85381-5311
Ph: (833) 242-0100 |
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