Mr Rexford Allan Plank Jr, PA-C - Medicare Physician Assistant in Fort Leonard Wood, MO

Mr Rexford Allan Plank Jr, PA-C is a medicare enrolled "Physician Assistant" in Fort Leonard Wood, Missouri. His current practice location is 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 596-0417.

Mr Rexford Allan Plank Jr is licensed to practice in Missouri (license number 103964) 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 1043224413.

Contact Information

Mr Rexford Allan Plank Jr, PA-C
126 Missouri Ave, Mcxp-ccs-cr,
Fort Leonard Wood, MO 65473-8952
(573) 596-0417
(573) 596-0524



Provider's Profile

Full NameMr Rexford Allan Plank Jr
GenderMale
SpecialityPhysician Assistant
Location126 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043224413
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6002086428
  • Enrollment ID: I20110823000190

Medical Identifiers

Medical identifiers for Mr Rexford Allan Plank Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043224413NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 103964 (Missouri)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 Rexford Allan Plank Jr 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 AddressPractice Location Address
Mr Rexford Allan Plank Jr, PA-C
126 Missouri Ave, Mcxp-ccs-cr,
Fort Leonard Wood, MO 65473-8952

Ph: (573) 596-0417
Mr Rexford Allan Plank Jr, PA-C
126 Missouri Ave, Mcxp-ccs-cr,
Fort Leonard Wood, MO 65473-8952

Ph: (573) 596-0417

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Physician Assistant Nurses in Fort Leonard Wood, MO

Mr. Jon-marc Thibodeau, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0035    
Rickey Rodger Martin, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    Fax: 573-596-0524
Charles Gang, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    
Toben Lybarger, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0456    
Michael Steven Godat, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    Fax: 573-596-0524
Mark S Short, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    Fax: 573-596-0524

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