Allyson Entwistle, is a medicare enrolled "Physician Assistant" physician in San Bernardino, California. Her current practice location is
2101 N Waterman Ave, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at
(909) 883-8711.
Allyson Entwistle is licensed to practice in California (license number 63414) 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 1275313686.
Physician's Profile
Full Name | Allyson Entwistle |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2101 N Waterman Ave, San Bernardino, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275313686
- Provider Enumeration Date: 10/03/2023
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456701028
- Enrollment ID: I20231221003075
Medical Identifiers
Medical identifiers for Allyson Entwistle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275313686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA63414 (California) | Secondary |
363A00000X | Physician Assistant | 63414 (California) | 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. Allyson Entwistle 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 |
Allyson Entwistle, 34969 Shadow Wood Dr, Yucaipa, CA 92399-3311 Ph: (909) 838-2494 | Allyson Entwistle, 2101 N Waterman Ave, San Bernardino, CA 92404-4836 Ph: (909) 883-8711 |
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