Mr Kevin Thomas Mccrystal, PAC in Southington, CT - Medicare Physician Assistant

Mr Kevin Thomas Mccrystal, PAC is a medicare enrolled "Physician Assistant" in Southington, Connecticut. His current practice location is 81 Menden Avenue, Bradley Memorial Hospital, Southington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 276-5208.

Mr Kevin Thomas Mccrystal is licensed to practice in Connecticut (license number 001356) 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 1730287350.

Contact Information

	Mr Kevin Thomas Mccrystal, PAC
	81 Menden Avenue, Bradley Memorial Hospital, Southington, CT 06489
	(860) 276-5208
	Not Available

Provider's Profile

Full Name	Mr Kevin Thomas Mccrystal
Gender	Male
Speciality	Physician Assistant
Location	81 Menden Avenue, Southington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730287350
Provider Enumeration Date: 09/20/2006
Last Update Date: 09/23/2008

Medicare PECOS Information:

PECOS PAC ID: 2860493541
Enrollment ID: I20070123000577

Medical Identifiers

Medical identifiers for Mr Kevin Thomas Mccrystal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730287350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	001356 (Connecticut)	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. Mr Kevin Thomas Mccrystal 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
Mr Kevin Thomas Mccrystal, PAC 72 Maple Avenue, Vernon, CT 06066 Ph: (860) 875-7915	Mr Kevin Thomas Mccrystal, PAC 81 Menden Avenue, Bradley Memorial Hospital, Southington, CT 06489 Ph: (860) 276-5208

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Physician Assistant Nurses in Southington, CT

Miranda Polaski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 81 Meriden Ave, Southington, CT 06489 Phone: 860-276-5000
Mr. Vuong Duc Dang, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 N Main St, Southington, CT 06489 Phone: 860-621-1024
Rebecca Davies Jeffery, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 340 N Main St, Southington, CT 06489 Phone: 860-628-5767
Vickie Christine Gerdon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1131 West St, Southington, CT 06489 Phone: 860-621-7682
Ramzia Julia Asheh, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 81 Meriden Ave, Emergency Department, Southington, CT 06489 Phone: 860-276-5000
Emily Amanda Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 167 Main St, Southington, CT 06489 Phone: 860-426-0252 Fax: 860-426-0458
Madeline Sadlowski, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 74 Hightower Rd, Southington, CT 06489 Phone: 203-859-1563

Mr Kevin Thomas Mccrystal, PAC - Medicare Physician Assistant in Southington, CT