Jeffery D Tate, PA-C - Medicare Physician Assistant in Mountain Home, AR

Jeffery D Tate, PA-C is a medicare enrolled "Physician Assistant" in Mountain Home, Arkansas. His current practice location is 555 W 6th St, Mountain Home, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 425-8288.

Jeffery D Tate is licensed to practice in * (Not Available) (license number ) 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 1356549901.

Contact Information

Jeffery D Tate, PA-C
555 W 6th St,
Mountain Home, AR 72653-3409
(870) 425-8288
(870) 425-8299



Provider's Profile

Full NameJeffery D Tate
GenderMale
SpecialityPhysician Assistant
Location555 W 6th St, Mountain Home, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356549901
  • Provider Enumeration Date: 07/05/2007
  • Last Update Date: 10/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466624994
  • Enrollment ID: I20111005000773

Medical Identifiers

Medical identifiers for Jeffery D Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356549901NPI-NPPES
PA-354OtherARSTATE MEDICAL BOARD - P.A. LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician 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. Jeffery D Tate 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 AddressPractice Location Address
Jeffery D Tate, PA-C
759 Highway 62 E,
Mountain Home, AR 72653-3260

Ph: (870) 594-8387
Jeffery D Tate, PA-C
555 W 6th St,
Mountain Home, AR 72653-3409

Ph: (870) 425-8288

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Physician Assistant Nurses in Mountain Home, AR

Mrs. Hillary-paige Graves Potter, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 17 Medical Plz, Mountain Home, AR 72653
Phone: 870-508-5900    
James C Roelke, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 628 Hospital Dr, Ground Floor, Suite A, Mountain Home, AR 72653
Phone: 870-425-4402    Fax: 870-424-3089
Mrs. Kelly Marie Krause, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2062 Highway 62 W, Mountain Home, AR 72653
Phone: 870-425-5464    Fax: 870-425-5465
Niger Stice, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 17 Medical Plaza, Mountain Home, AR 72653
Phone: 870-425-6235    Fax: 870-424-3774
Mrs. Diana Sue Riley, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 628 Hospital Dr, Suite G-c, Mountain Home, AR 72653
Phone: 870-508-5010    Fax: 870-508-5020

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