Katherine Tate, PA-C in Dayton, OH - Medicare Physician Assistant

Katherine Tate, PA-C is a medicare enrolled "Physician Assistant" in Dayton, Ohio. Her current practice location is 1 Wyoming St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 208-3876.

Katherine Tate is licensed to practice in Ohio (license number 50.007621RX) 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 1770212367.

Contact Information

	Katherine Tate, PA-C
	1 Wyoming St, Dayton, OH 45409-2722
	(937) 208-3876
	Not Available

Provider's Profile

Full Name	Katherine Tate
Gender	Female
Speciality	Physician Assistant
Location	1 Wyoming St, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770212367
Provider Enumeration Date: 06/08/2022
Last Update Date: 06/08/2022

Medicare PECOS Information:

PECOS PAC ID: 6002299484
Enrollment ID: I20220817002877

Medical Identifiers

Medical identifiers for Katherine Tate such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770212367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	50.007621RX (Ohio)	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. Katherine 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 Address	Practice Location Address
Katherine Tate, PA-C 85 Stone Ridge Ln, Middletown, OH 45044-3247 Ph: (919) 868-1631	Katherine Tate, PA-C 1 Wyoming St, Dayton, OH 45409-2722 Ph: (937) 208-3876

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Katherine Tate, PA-C - Medicare Physician Assistant in Dayton, OH