Thomas Yaw, PA-C is a medicare enrolled "Physician Assistant" physician in Manteca, California. His current practice location is
296 Cottage Ave, Manteca, California. You can reach out to his office (for appointments etc.) via phone at
(209) 239-2901.
Thomas Yaw is licensed to practice in California (license number 54705) 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 1205351459.
Physician's Profile
Full Name | Thomas Yaw |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 296 Cottage Ave, Manteca, 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: 1205351459
- Provider Enumeration Date: 08/09/2017
- Last Update Date: 08/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 4486912730
- Enrollment ID: I20180524002278
Medical Identifiers
Medical identifiers for Thomas Yaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205351459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 54705 (California) | Secondary |
363A00000X | Physician Assistant | 54705 (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. Thomas Yaw 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 |
Thomas Yaw, PA-C 1386 Wawona St, Manteca, CA 95337-6705 Ph: (209) 239-7898 | Thomas Yaw, PA-C 296 Cottage Ave, Manteca, CA 95336-4942 Ph: (209) 239-2901 |
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