Timothy A Dennis, PA-C is a
Physician Assistant based in Panguitch, Utah. Timothy A Dennis is licensed to practice in Utah (license number 104445-1206) and his current practice location is
224 N. 400 East, Panguitch, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 676-8842.
NPI number for Timothy A Dennis is 1376541102 and his current mailing address is Po Box 1096, Panguitch, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376541102.
Provider's Profile
| Full Name | Timothy A Dennis |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 224 N. 400 East, Panguitch, Utah |
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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: 1376541102
- Provider Enumeration Date: 07/14/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Timothy A Dennis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376541102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 104445-1206 (Utah) | 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. Timothy A Dennis 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 |
|---|
Timothy A Dennis, PA-C
Po Box 1096,
Panguitch, UT 84759
Ph: (435) 676-8758 | Timothy A Dennis, PA-C
224 N. 400 East,
Panguitch, UT 84759
Ph: (435) 676-8842 |
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