Dr Tristan Frederick Paris Mcknight, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in Mather, California. His current practice location is
10536 Peter A Mccuen Blvd, Mather, California. You can reach out to his office (for appointments etc.) via phone at
(805) 477-1209.
Dr Tristan Frederick Paris Mcknight is licensed to practice in California (license number A161098) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063940567.
Physician's Profile
Full Name | Dr Tristan Frederick Paris Mcknight |
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Gender | Male |
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Speciality | Pathology - Clinical Pathology/laboratory Medicine |
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Location | 10536 Peter A Mccuen Blvd, Mather, 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: 1063940567
- Provider Enumeration Date: 05/27/2017
- Last Update Date: 05/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305247453
- Enrollment ID: I20210625002145
Medical Identifiers
Medical identifiers for Dr Tristan Frederick Paris Mcknight such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063940567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 126552 (Montana) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 69010 (Minnesota) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 70175 (Arizona) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | MC-2097 (Idaho) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 23693 (Nevada) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | MD61437787 (Washington) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | A161098 (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. Dr Tristan Frederick Paris Mcknight 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 |
Dr Tristan Frederick Paris Mcknight, MD 10536 Peter A Mccuen Blvd, Mather, CA 95655-4128 Ph: (805) 477-1209 | Dr Tristan Frederick Paris Mcknight, MD 10536 Peter A Mccuen Blvd, Mather, CA 95655-4128 Ph: (805) 477-1209 |
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