Eleazar S Dial, PA-C in Riverside, CA - Medicare Physician Assistant

Eleazar S Dial, PA-C is a medicare enrolled "Physician Assistant" in Riverside, California. His current practice location is 3975 Jackson St Ste 200, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 353-2769.

Eleazar S Dial is licensed to practice in California (license number PA59155) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679927834.

Contact Information

	Eleazar S Dial, PA-C
	3975 Jackson St Ste 200, Riverside, CA 92503-3947
	(951) 353-2769
	(951) 353-2779

Map and Direction

Provider's Profile

Full Name	Eleazar S Dial
Gender	Male
Speciality	Physician Assistant
Location	3975 Jackson St Ste 200, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679927834
Provider Enumeration Date: 04/14/2016
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 7012209992
Enrollment ID: I20160713002021

Medical Identifiers

Medical identifiers for Eleazar S Dial such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679927834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	AMD671 (Hawaii)	Secondary
363A00000X	Physician Assistant	PA59155 (California)	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. Eleazar S Dial 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
Eleazar S Dial, PA-C Po Box 2407, Riverside, CA 92516-2407 Ph: (808) 353-2769	Eleazar S Dial, PA-C 3975 Jackson St Ste 200, Riverside, CA 92503-3947 Ph: (951) 353-2769

Reviews and Comments

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Eleazar S Dial, PA-C - Medicare Physician Assistant in Riverside, CA