Mr Douglas Floyd Fackler, PA-C - Physician Assistant in Evansville, IN

Mr Douglas Floyd Fackler, PA-C is a Physician Assistant - Medical based in Evansville, Indiana. Mr Douglas Floyd Fackler is licensed to practice in Texas (license number PA00512) and his current practice location is Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, Indiana. He can be reached at his office (for appointments etc.) via phone at (812) 465-6202.

NPI number for Mr Douglas Floyd Fackler is 1053402826 and his current mailing address is 143 Pennyrile Dr, Madisonville, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053402826.

Contact Information

Mr Douglas Floyd Fackler, PA-C
Evansville Va Outpatient Clinic, 500 E. Walnut,
Evansville, IN 47713
(812) 465-6202
(812) 465-6201

Map and Direction




Provider's Profile

Full NameMr Douglas Floyd Fackler
GenderMale
SpecialityPhysician Assistant - Medical
LocationEvansville Va Outpatient Clinic, Evansville, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053402826
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Douglas Floyd Fackler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053402826NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA00512 (Texas)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. Mr Douglas Floyd Fackler 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 AddressPractice Location Address
Mr Douglas Floyd Fackler, PA-C
143 Pennyrile Dr,
Madisonville, KY 42431-9219

Ph: () -
Mr Douglas Floyd Fackler, PA-C
Evansville Va Outpatient Clinic, 500 E. Walnut,
Evansville, IN 47713

Ph: (812) 465-6202

Reviews and Comments


Physician Assistant Nurses in Evansville, IN

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