Tyler Isaac Scicchitano, PA-C is a medicare enrolled "Physician Assistant - Medical" in Mahanoy City, Pennsylvania. His current practice location is
5 White Owl Ave, Mahanoy City, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 773-5388.
Tyler Isaac Scicchitano is licensed to practice in Pennsylvania (license number MA060996) 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 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730738709
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 03/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961836986
- Enrollment ID: I20221121002375
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
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 |
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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