Mr Michael Tyler Owen, PA in Albuquerque, NM - Medicare Physician Assistant

Mr Michael Tyler Owen, PA is a medicare enrolled "Physician Assistant" in Albuquerque, New Mexico. His current practice location is 3401 4th St Nw, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 994-5300.

Mr Michael Tyler Owen is licensed to practice in New Mexico (license number PA2023-0025) 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 1437898384.

Contact Information

	Mr Michael Tyler Owen, PA
	3401 4th St Nw, Albuquerque, NM 87107-2423
	(505) 994-5300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Michael Tyler Owen
Gender	Male
Speciality	Physician Assistant
Location	3401 4th St Nw, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437898384
Provider Enumeration Date: 05/31/2022
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2365801107
Enrollment ID: I20230711002646

Medical Identifiers

Medical identifiers for Mr Michael Tyler Owen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437898384	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA2023-0025 (New Mexico)	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. Mr Michael Tyler Owen 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
Mr Michael Tyler Owen, PA 4949 San Pedro Dr Ne Apt 40, Albuquerque, NM 87109-2551 Ph: (575) 706-4389	Mr Michael Tyler Owen, PA 3401 4th St Nw, Albuquerque, NM 87107-2423 Ph: (505) 994-5300

Reviews and Comments

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Mr Michael Tyler Owen, PA - Medicare Physician Assistant in Albuquerque, NM