Maxi Edra Dax, PA is a medicare enrolled "Physician Assistant - Medical" in Panguitch, Utah. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Garfield County and her current practice location is
200 North 400 East, Panguitch, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 690-1246.
Maxi Edra Dax is licensed to practice in Utah (license number 10079306-1206) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538617014.
Provider's Profile
| Full Name | Maxi Edra Dax |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 200 North 400 East, Panguitch, Utah |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Maxi Edra Dax graduated from nursing school in 2016
NPI Data:
- NPI Number: 1538617014
- Provider Enumeration Date: 09/14/2016
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890075253
- Enrollment ID: I20161201001469
Medical Identifiers
Medical identifiers for Maxi Edra Dax such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538617014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 10079306-1206 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Garfield County | 6305744459 | 9 |
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. Maxi Edra Dax 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 |
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Maxi Edra Dax, PA
95 North 100 East, P.o.box 738,
Panguitch, UT 84759
Ph: (435) 690-1246 | Maxi Edra Dax, PA
200 North 400 East,
Panguitch, UT 84759
Ph: (435) 690-1246 |
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