Tanner Winn Andre, PA is a medicare enrolled "Physician Assistant" physician in Richland, Washington. His current practice location is
888 Swift Blvd, Richland, Washington. You can reach out to his office (for appointments etc.) via phone at
(949) 212-6116.
Tanner Winn Andre is licensed to practice in * (Not Available) (license number ) 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 1750862116.
Physician's Profile
Full Name | Tanner Winn Andre |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 888 Swift Blvd, Richland, Washington |
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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: 1750862116
- Provider Enumeration Date: 08/23/2018
- Last Update Date: 03/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042555815
- Enrollment ID: I20230318000064
Medical Identifiers
Medical identifiers for Tanner Winn Andre such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750862116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 1151313 (Tennessee) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Tanner Winn Andre 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 |
Tanner Winn Andre, PA 19361 Jasper Hill Rd, Trabuco Canyon, CA 92679-1185 Ph: (949) 212-6116 | Tanner Winn Andre, PA 888 Swift Blvd, Richland, WA 99352-3514 Ph: (949) 212-6116 |
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