Mr Nathan David Tavolieri, PA-C in Fort Gordon, GA

Mr Nathan David Tavolieri, PA-C is a medicare enrolled "Physician Assistant" in Fort Gordon, Georgia. His current practice location is 300 W Hospital Rd, Building 329, Fort Gordon, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 787-3805.

Mr Nathan David Tavolieri is licensed to practice in Florida (license number PA9103339) 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 1063473510.

Contact Information

	Mr Nathan David Tavolieri, PA-C
	300 W Hospital Rd, Building 329, Fort Gordon, GA 30905-5741
	(706) 787-3805
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Nathan David Tavolieri
Gender	Male
Speciality	Physician Assistant
Location	300 W Hospital Rd, Fort Gordon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063473510
Provider Enumeration Date: 03/31/2006
Last Update Date: 10/03/2013

Medicare PECOS Information:

PECOS PAC ID: 6103851506
Enrollment ID: I20150706001917

Medical Identifiers

Medical identifiers for Mr Nathan David Tavolieri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063473510	NPI	-	NPPES
2921839-00	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9103339 (Florida)	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 Nathan David Tavolieri 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 Nathan David Tavolieri, PA-C 300 W Hospital Rd, Fort Gordon, GA 30905-5741 Ph: (706) 787-3805	Mr Nathan David Tavolieri, PA-C 300 W Hospital Rd, Building 329, Fort Gordon, GA 30905-5741 Ph: (706) 787-3805

Reviews and Comments

Physician Assistant Nurses in Fort Gordon, GA

Mr. Gordon Andrew Marshall, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 West Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905 Phone: 706-787-2720 Fax: 706-787-8176
Mrs. Sunny Maria Holden, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 E Hospital Road, Building T-300, Eisenhower Army Med Center Orthopedic Surgery Dept, Fort Gordon, GA 30905 Phone: 706-787-6157 Fax: 706-787-2901
Ms. Maria Teresa Richard, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-727-2720 Fax: 706-787-8176
Mr. William James Nieding, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 East H, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30905 Phone: 706-787-2862
Ms. Kim Nmn Walker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-8020
Mr. George Timothy Cassidy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Attn Credentials, Fort Gordon, GA 30905 Phone: 706-787-2720 Fax: 706-787-8176

Mr Nathan David Tavolieri, PA-C - Medicare Physician Assistant in Fort Gordon, GA