Mickey James Deavers, DMSC, MPAS, PA-C - Physician Assistant in Camp Lejeune, NC

Mickey James Deavers, DMSC, MPAS, PA-C is a Physician Assistant based in Camp Lejeune, North Carolina. Mickey James Deavers is licensed to practice in North Carolina (license number 0010-01845) and his current practice location is 100 Brewster Blvd, Camp Lejeune, North Carolina. He can be reached at his office (for appointments etc.) via phone at (910) 450-4831.

NPI number for Mickey James Deavers is 1265402739 and his current mailing address is Charles Luke Milam Clinic, Bldg 440, Camp Lejeune, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265402739.

Contact Information

Mickey James Deavers, DMSC, MPAS, PA-C
100 Brewster Blvd,
Camp Lejeune, NC 28547-2538
(910) 450-4831
Not Available



Provider's Profile

Full NameMickey James Deavers
GenderMale
SpecialityPhysician Assistant
Location100 Brewster Blvd, Camp Lejeune, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265402739
  • Provider Enumeration Date: 01/25/2006
  • Last Update Date: 05/12/2022

Medical Identifiers

Medical identifiers for Mickey James Deavers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265402739NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-01845 (North Carolina)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. Mickey James Deavers 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 AddressPractice Location Address
Mickey James Deavers, DMSC, MPAS, PA-C
Charles Luke Milam Clinic, Bldg 440,
Camp Lejeune, NC 28542-0117

Ph: (910) 440-1565
Mickey James Deavers, DMSC, MPAS, PA-C
100 Brewster Blvd,
Camp Lejeune, NC 28547-2538

Ph: (910) 450-4831

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› Verified 5 days ago


Physician Assistant Nurses in Camp Lejeune, NC

Timothy Marshall Hackler,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547
Phone: 910-450-3905    
Mr. Kaleb Hart, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547
Phone: 910-450-4357    
Allison Dowdey,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547
Phone: 910-450-4300    
Mr. Kevin Scott Koch Sr., PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547
Phone: 910-450-4520    
Mr. Derek Edward Weiss, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547
Phone: 910-450-4740    
Kevin J. King, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547
Phone: 910-450-4136    
David G. Bennett, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547
Phone: 910-450-4799    

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