Donald T Innes, PA is a
Physician Assistant based in Ajo, Arizona. Donald T Innes is licensed to practice in Arizona (license number 3617) and his current practice location is
410 N Malacate St, Ajo, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 387-5651.
NPI number for Donald T Innes is 1164646857 and his current mailing address is 410 N Malacate St, Ajo, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164646857.
Provider's Profile
| Full Name | Donald T Innes |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
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| Location | 410 N Malacate St, Ajo, Arizona |
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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: 1164646857
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 10/24/2019
Medical Identifiers
Medical identifiers for Donald T Innes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164646857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 3617 (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. Donald T Innes 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 |
|---|
Donald T Innes, PA
410 N Malacate St,
Ajo, AZ 85321-2254
Ph: (520) 387-5651 | Donald T Innes, PA
410 N Malacate St,
Ajo, AZ 85321-2254
Ph: (520) 387-5651 |
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