Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adam Derek-Alan Moffatt, PA

Individual provider Physician Assistant · NPI 1386364784

Adam Derek-Alan Moffatt, PA is a Physician Assistant in Gaylord, Michigan. Qualified in 2022, 4 years ago. Practices with Alcona Citizens for Health Inc, a 64-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1951 S Otsego Ave
Gaylord, MI 49735-8489
Phone: (989) 732-3284
Fax: (989) 732-6395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011331TMP22 (MI)

Record details

NPI number1386364784
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Alcona Citizens For Health Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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