Mr Eric Dean Travis, PAC is a
Physician Assistant based in Greenwood, West Virginia. Mr Eric Dean Travis is licensed to practice in West Virginia (license number 2598) and his current practice location is
1 Lois Ln, Greenwood, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 873-7020.
NPI number for Mr Eric Dean Travis is 1922259050 and his current mailing address is 1 Lois Ln, Greenwood, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922259050.
Provider's Profile
| Full Name | Mr Eric Dean Travis |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 1 Lois Ln, Greenwood, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922259050
- Provider Enumeration Date: 10/07/2008
- Last Update Date: 11/03/2025
Medical Identifiers
Medical identifiers for Mr Eric Dean Travis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922259050 | NPI | - | NPPES |
| 1922259050 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2598 (West Virginia) | 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 Eric Dean Travis 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 |
|---|
Mr Eric Dean Travis, PAC
1 Lois Ln,
Greenwood, WV 26415-9500
Ph: (702) 386-4700 | Mr Eric Dean Travis, PAC
1 Lois Ln,
Greenwood, WV 26415-9500
Ph: (304) 873-7020 |
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