Ms Tyra Marie Holt, PA-C in Tampa, FL - Medicare Physician Assistant

Ms Tyra Marie Holt, PA-C is a medicare enrolled "Physician Assistant - Medical" in Tampa, Florida. Her current practice location is 2102 S Dale Mabry Hwy, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 798-1499.

Ms Tyra Marie Holt is licensed to practice in Florida (license number 9116988) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447958806.

Contact Information

	Ms Tyra Marie Holt, PA-C
	2102 S Dale Mabry Hwy, Tampa, FL 33629-6335
	(813) 798-1499
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Tyra Marie Holt
Gender	Female
Speciality	Physician Assistant - Medical
Location	2102 S Dale Mabry Hwy, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447958806
Provider Enumeration Date: 02/15/2023
Last Update Date: 03/30/2024

Medicare PECOS Information:

PECOS PAC ID: 5294178257
Enrollment ID: I20240206003998

Medical Identifiers

Medical identifiers for Ms Tyra Marie Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447958806	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	9116988 (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. Ms Tyra Marie Holt 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
Ms Tyra Marie Holt, PA-C 6301 S West Shore Blvd Apt 1321, Tampa, FL 33616-1368 Ph: (707) 290-5860	Ms Tyra Marie Holt, PA-C 2102 S Dale Mabry Hwy, Tampa, FL 33629-6335 Ph: (813) 798-1499

Reviews and Comments

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Ms Tyra Marie Holt, PA-C - Medicare Physician Assistant in Tampa, FL