Mr Roger L Nottingham Jr, PA-C is a
Physician Assistant based in Liberty Hill, Texas. Mr Roger L Nottingham Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
344 Vista Portola Loop, Liberty Hill, Texas. He can be reached at his office (for appointments etc.) via phone at
(949) 257-3043.
NPI number for Mr Roger L Nottingham Jr is 1164211041 and his current mailing address is 344 Vista Portola Loop, Liberty Hill, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164211041.
Provider's Profile
| Full Name | Mr Roger L Nottingham Jr |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 344 Vista Portola Loop, Liberty Hill, Texas |
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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: 1164211041
- Provider Enumeration Date: 05/06/2025
- Last Update Date: 05/06/2025
Medical Identifiers
Medical identifiers for Mr Roger L Nottingham Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164211041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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 Roger L Nottingham Jr 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 Roger L Nottingham Jr, PA-C
344 Vista Portola Loop,
Liberty Hill, TX 78642-0258
Ph: (949) 257-3043 | Mr Roger L Nottingham Jr, PA-C
344 Vista Portola Loop,
Liberty Hill, TX 78642-0258
Ph: (949) 257-3043 |
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