Toni Denise Muckala, PA-C, PHARMD is a
Physician Assistant based in Peoria, Arizona. Toni Denise Muckala is licensed to practice in Arizona (license number 5698) and her current practice location is
6739 W Cactus Rd, Peoria, Arizona. She can be reached at her office (for appointments etc.) via phone at
(833) 242-0100.
NPI number for Toni Denise Muckala is 1124008016 and her current mailing address is 5318 E Hermosa Vista Dr, Mesa, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124008016.
Healthcare Provider's Profile
| Full Name | Toni Denise Muckala |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 6739 W Cactus Rd, Peoria, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124008016
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 10/10/2022
Medical Identifiers
Medical identifiers for Toni Denise Muckala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124008016 | NPI | - | NPPES |
| 388528300 | Medicaid | MN | |
| 9530 | Other | MN | STATE OF MINNESOTA PA LICENSE |
| 5698 | Other | AZ | STATE OF ARIZONA PA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 118389 (Minnesota) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 9530 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 5698 (Arizona) | 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. Toni Denise Muckala 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 |
|---|
Toni Denise Muckala, PA-C, PHARMD
5318 E Hermosa Vista Dr,
Mesa, AZ 85215-1909
Ph: () - | Toni Denise Muckala, PA-C, PHARMD
6739 W Cactus Rd,
Peoria, AZ 85381-5311
Ph: (833) 242-0100 |
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