Tyler Isaac Scicchitano, PA-C is a
Physician Assistant - Medical based in Mahanoy City, Pennsylvania. Tyler Isaac Scicchitano is licensed to practice in Pennsylvania (license number MA060996) and his current practice location is
5 White Owl Ave, Mahanoy City, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 773-5388.
NPI number for Tyler Isaac Scicchitano is 1730738709 and his current mailing address is 5 White Owl Ave, Mahanoy City, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730738709.
Provider's Profile
Full Name | Tyler Isaac Scicchitano |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 5 White Owl Ave, Mahanoy City, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730738709
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 03/16/2023
Medical Identifiers
Medical identifiers for Tyler Isaac Scicchitano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730738709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | MA060996 (Pennsylvania) | Primary |
207R00000X | Internal Medicine | MA060996 (Pennsylvania) | Secondary |
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. Tyler Isaac Scicchitano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tyler Isaac Scicchitano, PA-C 5 White Owl Ave, Mahanoy City, PA 17948-3000 Ph: (866) 345-1543 | Tyler Isaac Scicchitano, PA-C 5 White Owl Ave, Mahanoy City, PA 17948-3000 Ph: (570) 773-5388 |
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