Mr Thomas Wayne Distel, PA is a medicare enrolled "Physician Assistant" in Henrietta, Texas. His current practice location is
102 S Archer St, Henrietta, Texas. You can reach out to his office (for appointments etc.) via phone at
(940) 538-4336.
Mr Thomas Wayne Distel is licensed to practice in Texas (license number PA01207) 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 1932184926.
Provider's Profile
Full Name | Mr Thomas Wayne Distel |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 102 S Archer St, Henrietta, Texas |
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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: 1932184926
- Provider Enumeration Date: 12/13/2005
- Last Update Date: 07/06/2010
Medicare PECOS Information:
- PECOS PAC ID: 8022132224
- Enrollment ID: I20130814000621
Medical Identifiers
Medical identifiers for Mr Thomas Wayne Distel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932184926 | NPI | - | NPPES |
PA01207 | Other | TX | ST PA LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA01207 (Texas) | 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 Thomas Wayne Distel 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 Thomas Wayne Distel, PA Po Box 360, 102 South Archer, Henrietta, TX 76365-0360 Ph: (940) 538-4336 | Mr Thomas Wayne Distel, PA 102 S Archer St, Henrietta, TX 76365-2746 Ph: (940) 538-4336 |
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