Tyler Keith Yocum, PA-C is a medicare enrolled "Physician Assistant" physician in Tucson, Arizona. His current practice location is
5301 E Grant Rd, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 784-6200.
Tyler Keith Yocum is licensed to practice in Arizona (license number 9410) 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 1265055388.
Physician's Profile
Full Name | Tyler Keith Yocum |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 5301 E Grant Rd, Tucson, Arizona |
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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: 1265055388
- Provider Enumeration Date: 05/22/2020
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193192615
- Enrollment ID: I20221111001895
Medical Identifiers
Medical identifiers for Tyler Keith Yocum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265055388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0127X | Surgery - Trauma Surgery | 9410 (Arizona) | Secondary |
363AS0400X | Physician Assistant - Surgical | 9410 (Arizona) | Secondary |
363A00000X | Physician Assistant | 9410 (Arizona) | 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. Tyler Keith Yocum 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 |
Tyler Keith Yocum, PA-C Po Box 31630, Tucson, AZ 85751-1630 Ph: (520) 784-6200 | Tyler Keith Yocum, PA-C 5301 E Grant Rd, Tucson, AZ 85712-2805 Ph: (520) 784-6200 |
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