Mr Bruce Alan Cavanaugh, PA-C is a medicare enrolled "Physician Assistant - Medical" in Woodstock, Maryland. His current practice location is
9987 Village Green Dr, Woodstock, Maryland. You can reach out to his office (for appointments etc.) via phone at
(443) 570-2782.
Mr Bruce Alan Cavanaugh is licensed to practice in Maryland (license number C002022) 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 1689633414.
Provider's Profile
| Full Name | Mr Bruce Alan Cavanaugh |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 9987 Village Green Dr, Woodstock, Maryland |
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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: 1689633414
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 04/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 8224072541
- Enrollment ID: I20050616000769
Medical Identifiers
Medical identifiers for Mr Bruce Alan Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689633414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | C002022 (Maryland) | Primary |
| 363A00000X | Physician Assistant | C002022 (Maryland) | 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. Mr Bruce Alan Cavanaugh 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 |
Mr Bruce Alan Cavanaugh, PA-C 9987 Village Green Dr, Woodstock, MD 21163-1155 Ph: (443) 570-2782 | Mr Bruce Alan Cavanaugh, PA-C 9987 Village Green Dr, Woodstock, MD 21163-1155 Ph: (443) 570-2782 |
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