Edward Manning Sprowl Iii, PAC is a
Physician Assistant based in Mescalero, New Mexico. Edward Manning Sprowl Iii is licensed to practice in * (Not Available) (license number 1016599) and his current practice location is
318 Abalone Loop, Mescalero, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(575) 464-4441.
NPI number for Edward Manning Sprowl Iii is 1588696520 and his current mailing address is 318 Abalone Loop, Mescalero, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588696520.
Provider's Profile
| Full Name | Edward Manning Sprowl Iii |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 318 Abalone Loop, Mescalero, New Mexico |
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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: 1588696520
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 02/11/2011
Medical Identifiers
Medical identifiers for Edward Manning Sprowl Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588696520 | NPI | - | NPPES |
| 38553562 | Medicaid | NM | |
| 846537 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1016599 (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | MA001481L (Pennsylvania) | Secondary |
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. Edward Manning Sprowl Iii 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 |
|---|
Edward Manning Sprowl Iii, PAC
318 Abalone Loop,
Mescalero, NM 88340
Ph: (575) 464-4441 | Edward Manning Sprowl Iii, PAC
318 Abalone Loop,
Mescalero, NM 88340
Ph: (575) 464-4441 |
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