Tristen Amber Pack, PA-C is a medicare enrolled "Physician Assistant" in Tazewell, Virginia. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1942632245
- Provider Enumeration Date: 08/08/2013
- Last Update Date: 01/30/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
|---|
| 363A00000X | Physician Assistant | 54-0506332 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110004364 (Virginia) | 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. 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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