Dustin Durham, is a
Physician Assistant - Surgical based in New Kensington, Pennsylvania. Dustin Durham is licensed to practice in Pennsylvania (license number MA057071) and his current practice location is
120 Dinwiddie Dr, New Kensington, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(412) 807-8137.
NPI number for Dustin Durham is 1497155576 and his current mailing address is 120 Dinwiddie Dr, New Kensington, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497155576.
Provider's Profile
| Full Name | Dustin Durham |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Surgical |
|---|
| Location | 120 Dinwiddie Dr, New Kensington, Pennsylvania |
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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: 1497155576
- Provider Enumeration Date: 08/26/2014
- Last Update Date: 10/15/2020
Medical Identifiers
Medical identifiers for Dustin Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497155576 | NPI | - | NPPES |
| 103205944 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | MA057071 (Pennsylvania) | 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. Dustin Durham 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 |
|---|
Dustin Durham,
120 Dinwiddie Dr,
New Kensington, PA 15068-9392
Ph: (412) 807-8137 | Dustin Durham,
120 Dinwiddie Dr,
New Kensington, PA 15068-9392
Ph: (412) 807-8137 |
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