Dalena Mae Custer, PA-C in Charlotte, NC

Dalena Mae Custer, PA-C is a medicare enrolled "Physician Assistant" in Charlotte, North Carolina. Her current practice location is 10620 Park Rd Ste 128, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 542-6111.

Dalena Mae Custer is licensed to practice in North Carolina (license number 0010-00302) 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 1184706806.

Contact Information

	Dalena Mae Custer, PA-C
	10620 Park Rd Ste 128, Charlotte, NC 28210-0106
	(704) 542-6111
	Not Available

Map and Direction

Provider's Profile

Full Name	Dalena Mae Custer
Gender	Female
Speciality
Experience	Years
Location	10620 Park Rd Ste 128, Charlotte, North Carolina
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:

Dalena Mae Custer attended and graduated from in

NPI Data:

NPI Number: 1184706806
Provider Enumeration Date: 10/20/2006
Last Update Date: 06/03/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dalena Mae Custer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184706806	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	001000302 (North Carolina)	Secondary
363A00000X	Physician Assistant	0010-00302 (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. Dalena Mae Custer 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
Dalena Mae Custer, PA-C Po Box 96860, Charlotte, NC 28296-6860 Ph: () -	Dalena Mae Custer, PA-C 10620 Park Rd Ste 128, Charlotte, NC 28210-0106 Ph: (704) 542-6111

Reviews and Comments

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Dalena Mae Custer, PA-C - Medicare in Charlotte, NC