Patrick Derouen, PA-C in Austell, GA - Medicare Physician Assistant

Patrick Derouen, PA-C is a medicare enrolled "Physician Assistant - Medical" in Austell, Georgia. His current practice location is 1550 Mulkey Rd, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 446-1440.

Patrick Derouen is licensed to practice in Georgia (license number 004076) 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 1184781999.

Contact Information

	Patrick Derouen, PA-C
	1550 Mulkey Rd, Austell, GA 30106-1112
	(404) 446-1440
	(770) 732-2081

Provider's Profile

Full Name	Patrick Derouen
Gender	Male
Speciality	Physician Assistant - Medical
Location	1550 Mulkey Rd, Austell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184781999
Provider Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4688863095
Enrollment ID: I20110118000218

Medical Identifiers

Medical identifiers for Patrick Derouen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184781999	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	004076 (Georgia)	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. Patrick Derouen 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
Patrick Derouen, PA-C 1550 Mulkey Rd, Austell, GA 30106-1112 Ph: (404) 446-1440	Patrick Derouen, PA-C 1550 Mulkey Rd, Austell, GA 30106-1112 Ph: (404) 446-1440

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Physician Assistant Nurses in Austell, GA

Mrs. Lauren S Snyder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Hospital South Dr Ste 300, Austell, GA 30106 Phone: 770-944-2830 Fax: 678-581-7170
Ms. Melissa Anne Martel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000
Mr. Jeffrey N Hairston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2041 Mesa Valley Way, Suite 100, Austell, GA 30106 Phone: 770-944-1100 Fax: 770-941-7227
Brandon Lee Eshleman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3672 Marathon Cir, Suite 200, Austell, GA 30106 Phone: 770-944-3303 Fax: 770-944-0285
Lauren Cannon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 706-863-9595 Fax: 706-868-8375
Bethany Bixler Quinn, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3820 Medical Park Dr, Austell, GA 30106 Phone: 770-948-6041 Fax: 770-819-2987
Douglas A. Hernandez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2041 Mesa Valley Way Ste 100, Austell, GA 30106 Phone: 770-944-1100

Patrick Derouen, PA-C - Medicare Physician Assistant in Austell, GA