David Dylan Pate, PA-C
David Dylan Pate, PA-C is a Physician Assistant in Jacksonville, Illinois. Qualified in 2016, 10 years ago. Practices with Memorial Physician Services, a 158-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 10
- Licensed in
- IL
- In the registry since
- 2016
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
15 Founders Ln Ste 100Jacksonville, IL 62650-3924
Phone: (217) 243-0300
Fax: (217) 862-0202
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 085005952 (IL) |
|---|
Record details
| NPI number | 1912453895 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 30, 2016 |
| Last updated in NPPES | September 8, 2023 |
| Certification date | September 8, 2023 |
| Mailing address | 15 Founders Ln Ste 100, Jacksonville, IL 62650-3924 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Memorial Physician Services — 158 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |