Mr Raymond Bennett Caldwell Iv, PA-C in Southaven, MS - Medicare Physician Assistant

Mr Raymond Bennett Caldwell Iv, PA-C is a medicare enrolled "Physician Assistant" in Southaven, Mississippi. His current practice location is 7601 Southcrest Pkwy, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 772-4000.

Mr Raymond Bennett Caldwell Iv 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 1598395501.

Contact Information

	Mr Raymond Bennett Caldwell Iv, PA-C
	7601 Southcrest Pkwy, Southaven, MS 38671-4739
	(662) 772-4000
	Not Available

Provider's Profile

Full Name	Mr Raymond Bennett Caldwell Iv
Gender	Male
Speciality	Physician Assistant
Location	7601 Southcrest Pkwy, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598395501
Provider Enumeration Date: 01/17/2020
Last Update Date: 01/17/2020

Medicare PECOS Information:

PECOS PAC ID: 1850722679
Enrollment ID: I20200512001243

Medical Identifiers

Medical identifiers for Mr Raymond Bennett Caldwell Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598395501	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. Mr Raymond Bennett Caldwell Iv 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 Raymond Bennett Caldwell Iv, PA-C 5701 Baird Dr, Memphis, TN 38119-7103 Ph: (901) 494-4992	Mr Raymond Bennett Caldwell Iv, PA-C 7601 Southcrest Pkwy, Southaven, MS 38671-4739 Ph: (662) 772-4000

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Physician Assistant Nurses in Southaven, MS

Jacob Cole Lee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3100
Nikara Kilpatrick, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 9140 Highway 51 N, Southaven, MS 38671 Phone: 662-280-8222
Brooklyn Paige Snell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000
Brandye Nicole Wilson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 Goodman Rd W Ste D, Southaven, MS 38671 Phone: 662-932-3560 Fax: 662-534-2330
Donald Wayne Washburn Iii, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000
Pamela Lynn Davis, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Caroline Sabbatini Moreland, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7585 Clarington Cv, Southaven, MS 38671 Phone: 662-349-0200 Fax: 662-349-1666

Mr Raymond Bennett Caldwell Iv, PA-C - Medicare Physician Assistant in Southaven, MS