Tristen Amber Pack, PA-C is a medicare enrolled "Physician Assistant" in Tazewell, Virginia. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carilion Medical Center and her current practice location is
388 Ben Bolt Ave, Tazewell, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 988-8740.
Tristen Amber Pack is licensed to practice in Virginia (license number 0110004364) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942632245.
Provider's Profile
| Full Name | Tristen Amber Pack |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 11 Years |
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| Location | 388 Ben Bolt Ave, Tazewell, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tristen Amber Pack graduated from nursing school in 2013
NPI Data:
- NPI Number: 1942632245
- Provider Enumeration Date: 08/08/2013
- Last Update Date: 01/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 6204061971
- Enrollment ID: I20131105001138
Medical Identifiers
Medical identifiers for Tristen Amber Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942632245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 54-0506332 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110004364 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Carilion Medical Center | 9830096585 | 773 |
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. Tristen Amber Pack 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 |
|---|
Tristen Amber Pack, PA-C
388 Ben Bolt Ave,
Tazewell, VA 24651-5386
Ph: (276) 988-8740 | Tristen Amber Pack, PA-C
388 Ben Bolt Ave,
Tazewell, VA 24651-5386
Ph: (276) 988-8740 |
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