Michael K Gaddy, PA-C is a medicare enrolled "Physician Assistant - Medical" in Mountain View, Missouri. His current practice location is
104 East Highway 60, Mountain View, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 934-2251.
Michael K Gaddy is licensed to practice in Missouri (license number 112033) 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 1871675702.
Provider's Profile
| Full Name | Michael K Gaddy |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 104 East Highway 60, Mountain View, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871675702
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 5294785655
- Enrollment ID: I20050125000143
Medical Identifiers
Medical identifiers for Michael K Gaddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871675702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 112033 (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael K Gaddy allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Clinic Springfield Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
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| Entity Name | Big Springs Medical Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695 |
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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. Michael K Gaddy 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 |
Michael K Gaddy, PA-C Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Michael K Gaddy, PA-C 104 East Highway 60, Mountain View, MO 65548 Ph: (417) 934-2251 |
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