Haylie Anne Prucker, PA-C in Avon, CT - Medicare Physician Assistant

Haylie Anne Prucker, PA-C is a medicare enrolled "Physician Assistant" in Avon, Connecticut. Her current practice location is 385 W Main St, Avon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 777-1280.

Haylie Anne Prucker is licensed to practice in * (Not Available) (license number ) 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 1982337069.

Contact Information

	Haylie Anne Prucker, PA-C
	385 W Main St, Avon, CT 06001-4357
	(860) 777-1280
	Not Available

Provider's Profile

Full Name	Haylie Anne Prucker
Gender	Female
Speciality	Physician Assistant
Location	385 W Main St, Avon, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982337069
Provider Enumeration Date: 07/06/2022
Last Update Date: 06/04/2023

Medicare PECOS Information:

PECOS PAC ID: 8426411885
Enrollment ID: I20230831004588

Medical Identifiers

Medical identifiers for Haylie Anne Prucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982337069	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. Haylie Anne Prucker 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
Haylie Anne Prucker, PA-C 21 Hillcrest Dr, Stafford Springs, CT 06076-3323 Ph: () -	Haylie Anne Prucker, PA-C 385 W Main St, Avon, CT 06001-4357 Ph: (860) 777-1280

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Physician Assistant Nurses in Avon, CT

Anja Summers Panetta, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 30 West Avon Road, Suite E, Avon, CT 06001 Phone: 860-674-9900 Fax: 860-678-0036
Mrs. Katherine B Bares, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8 Canal Ct, Avon, CT 06001 Phone: 860-674-9686 Fax: 860-674-9954
Josephine Ankrah, PA-C, MPH Physician Assistant Medicare: Medicare Enrolled Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-777-1280
Rebecca Corridori, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-777-1280 Fax: 860-777-1276
Ms. Miriam Kristen Wiggins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-777-1280 Fax: 860-777-1276
Nam V Nguyen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-696-2150 Fax: 860-696-2160
Cecile Berry, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Simsbury Rd, Suite 203, Avon, CT 06001 Phone: 860-284-5111 Fax: 860-284-5114

Haylie Anne Prucker, PA-C - Medicare Physician Assistant in Avon, CT