Mr Rex A Incledon, PA-C, CCP in Fort Sam Houston, TX - Medicare Physician Assistant

Mr Rex A Incledon, PA-C, CCP is a medicare enrolled "Physician Assistant" in Fort Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-0819.

Mr Rex A Incledon is licensed to practice in Texas (license number PA03561) 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 1114918414.

Contact Information

	Mr Rex A Incledon, PA-C, CCP
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 916-0819
	Not Available

Provider's Profile

Full Name	Mr Rex A Incledon
Gender	Male
Speciality	Physician Assistant
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114918414
Provider Enumeration Date: 11/04/2005
Last Update Date: 04/13/2018

Medicare PECOS Information:

PECOS PAC ID: 9133265358
Enrollment ID: I20091001000380

Medical Identifiers

Medical identifiers for Mr Rex A Incledon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114918414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA03561 (Texas)	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 Rex A Incledon 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 Rex A Incledon, PA-C, CCP 2410 Karat Dr, San Antonio, TX 78232-5607 Ph: () -	Mr Rex A Incledon, PA-C, CCP 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-0819

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Physician Assistant Nurses in Fort Sam Houston, TX

Jesse Gronsky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9900
Michael David Gianelle, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-1154
Mr. Cameron Darius Clement, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3880 Roger Brooke Dr., C/o General Surgery Dept/sammc, Fort Sam Houston, TX 78234 Phone: 509-590-8908
William Grisham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 615-987-2487
John Mcfall, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8764
Guy-raphael Toussaint, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Mr. Christopher Lee Furbee, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582

Mr Rex A Incledon, PA-C, CCP - Medicare Physician Assistant in Fort Sam Houston, TX