Vickie Christine Gerdon, PA-C in Southington, CT - Medicare Physician Assistant

Vickie Christine Gerdon, PA-C is a medicare enrolled "Physician Assistant - Medical" in Southington, Connecticut. Her current practice location is 1131 West St, Southington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 621-7682.

Vickie Christine Gerdon is licensed to practice in Connecticut (license number 000428) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134194798.

Contact Information

	Vickie Christine Gerdon, PA-C
	1131 West St, Southington, CT 06489-6006
	(860) 621-7682
	Not Available

Provider's Profile

Full Name	Vickie Christine Gerdon
Gender	Female
Speciality	Physician Assistant - Medical
Location	1131 West St, 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: 1134194798
Provider Enumeration Date: 02/17/2006
Last Update Date: 12/17/2012

Medicare PECOS Information:

PECOS PAC ID: 6800928698
Enrollment ID: I20100714000304

Medical Identifiers

Medical identifiers for Vickie Christine Gerdon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134194798	NPI	-	NPPES
000428	Other	CT	CTCARE PROVIDER #
217217	Other	CT	PREFERRED ONE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	000428 (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. Vickie Christine Gerdon 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
Vickie Christine Gerdon, PA-C 1131 West St, Southington, CT 06489-6006 Ph: (860) 621-7682	Vickie Christine Gerdon, PA-C 1131 West St, Southington, CT 06489-6006 Ph: (860) 621-7682

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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
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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
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Vickie Christine Gerdon, PA-C - Medicare Physician Assistant in Southington, CT