PATRICK J CREEDON PA-C NPI 1295836104

Physician Assistant (Surgical) in Middletown, CT

NPI 1295836104 Individual Male Years of Experience 20 Physician Assistant Surgical PECOS Enrolled Accepts Medicare Approved Payment

About PATRICK CREEDON

Patrick Creedon is a provider established in Middletown, Connecticut and his medical specialization is physician assistant (surgical) with more than 20 years of experience. The NPI number of Patrick Creedon is 1295836104 and was assigned on September 2006. The practitioner's primary taxonomy code is 363AS0400X with license number 001265 (CT). The provider is registered as an individual and his NPI record was last updated 5 years ago.

Patrick Creedon is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Patrick Creedon is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Middlesex Hospital.

NPI

1295836104

Provider Name PATRICK J CREEDON PA-C
Provider Location Address28 CRESCENT ST MIDDLESEX HOSPITAL MIDDLETOWN, CT 06457
Provider Mailing Address28 CRESCENT ST MIDDLESEX HOSPITAL MIDDLETOWN, CT 06457
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-25-2006
Last Update Date04-12-2017


Primary Taxonomy

Taxonomy Code363AS0400X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationSurgical
License No.001265
License StateCT

Business Address

PATRICK J CREEDON PA-C
28 CRESCENT ST
MIDDLESEX HOSPITAL
MIDDLETOWN, CT
ZIP 06457
Phone: (860) 358-6394

Get Directions


Mailing Address

PATRICK J CREEDON PA-C
28 CRESCENT ST
MIDDLESEX HOSPITAL
MIDDLETOWN, CT
ZIP 06457
Phone: (860) 358-4820
Fax: (860) 358-8661



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5092612283
PECOS Enrollment IDI20031216000567
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Patrick Creedon is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MIDDLESEX HOSPITAL28 CRESCENT ST
MIDDLETOWN, CT 6457
(860) 344-6000Acute Care Hospitals70020

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant001265CTNo

Taxonomy Description: a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
970001429MEDICARE ID-TYPE UNSPECIFIED (04)CT
003012655MEDICAID (05)CT
P73868MEDICARE ID-TYPE UNSPECIFIED (04)CT

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790788859 ERIC B NEADEL R, PA-C
Individual
Physician Assistant (Medical)28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 358-8016
1699773598 STEVEN CONLIN
Individual
Physician Assistant (Medical)28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 358-8000
1043292980 JEFFREY H. GOTTLIEB M.D.
Individual
Psychiatry & Neurology (Psychiatry)28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6760
1609854041MS. KATHRYN SUZIO PA
Individual
Physician Assistant (Medical)28 CRESCENT ST AMELIA BALDWIN, ENROLLMENT COORDINATOR
MIDDLETOWN, CT 06457
(860) 358-6394
1689653867 LAURENCE CHONG M.D.
Individual
Internal Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 358-4720
1528048428 JESSE WAGNER M.D.
Individual
Internal Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 358-4720
1316919947 CRAIG SCOTT MACDONALD M.D.
Individual
Emergency Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394
1821060369 WILLIAM MARK ALLEN M.D.
Individual
Emergency Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394
1629040175 MARY HARKIN M.D.
Individual
Emergency Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394
1760454334MIDDLESEX HOSPITAL
Organization
General Acute Care Hospital28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 358-6394
1427021633 CRAIG WINDERMAN M.D.
Individual
Internal Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394
1891760443 MICHELE PETRUCELLI MD
Individual
Emergency Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394
1699740282 MICHAEL R SAXE MD
Individual
Emergency Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394
1689649238 JOHN KREIDER MD
Individual
Emergency Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394
1831164326DR. RICHARD B SADLER MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)28 CRESCENT ST FAMILY ADVOCACY
MIDDLETOWN, CT 06457
(860) 358-3401
1396710711 JANET GORDON MD
Individual
Emergency Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394
1003881426 THOMAS J. DANYLIW MD
Individual
Emergency Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394
1598730905 MARIO CAPUZZI MD
Individual
Emergency Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394
1528033867 BRIAN N. MCGUIRE MD
Individual
Emergency Medicine28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394
1316912694 DENNIS JOHN BROWN PA
Individual
Physician Assistant (Medical)28 CRESCENT ST
MIDDLETOWN, CT 06457
(860) 344-6394

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.