Linda Duppong, PA-C is a
Physician Assistant based in Glen Ullin, North Dakota. Linda Duppong is licensed to practice in North Dakota (license number PA0021) and her current practice location is
602 Ash Ave, Glen Ullin, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 348-9175.
NPI number for Linda Duppong is 1053399436 and her current mailing address is Po Box 640, Glen Ullin, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053399436.
Provider's Profile
| Full Name | Linda Duppong |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 602 Ash Ave, Glen Ullin, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053399436
- Provider Enumeration Date: 01/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Linda Duppong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053399436 | NPI | - | NPPES |
| 10485 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA0021 (North Dakota) | 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. Linda Duppong 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 |
|---|
Linda Duppong, PA-C
Po Box 640,
Glen Ullin, ND 58631-0640
Ph: () - | Linda Duppong, PA-C
602 Ash Ave,
Glen Ullin, ND 58631
Ph: (701) 348-9175 |
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