Mrs Vashti Etwaru, in Springfield, NJ - Medicare Physician Assistant

Mrs Vashti Etwaru, is a medicare enrolled "Physician Assistant - Medical" in Springfield, New Jersey. Her current practice location is 649 Morris Ave, Springfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 795-7955.

Mrs Vashti Etwaru is licensed to practice in New York (license number 013232) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114159506.

Contact Information

	Mrs Vashti Etwaru,
	649 Morris Ave, Springfield, NJ 07081-1526
	(973) 795-7955
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Vashti Etwaru
Gender	Female
Speciality	Physician Assistant - Medical
Location	649 Morris Ave, Springfield, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114159506
Provider Enumeration Date: 08/18/2009
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7719246461
Enrollment ID: I20180125002347

Medical Identifiers

Medical identifiers for Mrs Vashti Etwaru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114159506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	013232 (New York)	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. Mrs Vashti Etwaru 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
Mrs Vashti Etwaru, 22 Crown View Ct, Sparta, NJ 07871-3569 Ph: (516) 343-5339	Mrs Vashti Etwaru, 649 Morris Ave, Springfield, NJ 07081-1526 Ph: (973) 795-7955

Reviews and Comments

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Mrs Vashti Etwaru, - Medicare Physician Assistant in Springfield, NJ