Ricky Steven Garland, PA-C is a medicare enrolled "Physician Assistant" in Guyton, Georgia. His current practice location is
3 Hidden Creek Dr, Guyton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 772-8620.
Ricky Steven Garland is licensed to practice in Georgia (license number 004080) 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 1942382429.
Provider's Profile
| Full Name | Ricky Steven Garland |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 3 Hidden Creek Dr, Guyton, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1942382429
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 9032176482
- Enrollment ID: I20041216000876
Medical Identifiers
Medical identifiers for Ricky Steven Garland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942382429 | NPI | - | NPPES |
| 01184192 | Other | GA | AMERIGROUP |
| 582203199-009 | Other | | TRICARE AFFILIATION |
| 873868589D | Medicaid | GA | |
| 873868589E | Medicaid | GA | |
| 0584PA | Medicaid | SC | |
| 873868589B | Medicaid | GA | |
| 873868589K | Medicaid | GA | |
| P00477553 | Other | GA | RR MEDICARE |
| 873868589J | Medicaid | GA | |
| 873868589F | Medicaid | GA | |
| 582203199-004 | Other | | TRICARE AFFILIATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 004080 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 004080 (Georgia) | 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. Ricky Steven Garland 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 |
|---|
Ricky Steven Garland, PA-C
Po Box 386,
Springfield, GA 31329-0386
Ph: (912) 754-0380 | Ricky Steven Garland, PA-C
3 Hidden Creek Dr,
Guyton, GA 31312-4590
Ph: (912) 772-8620 |
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