Tyler J Antenen, PA-C in Kingman, KS - Medicare Physician Assistant

Tyler J Antenen, PA-C is a medicare enrolled "Physician Assistant" in Kingman, Kansas. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ninnescah Valley Health Systems Inc and his current practice location is 750 W D Ave, Kingman, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 532-0295.

Tyler J Antenen is licensed to practice in Kansas (license number 1501947) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104377647.

Contact Information

	Tyler J Antenen, PA-C
	750 W D Ave, Kingman, KS 67068-1266
	(620) 532-0295
	(855) 483-0002

Map and Direction

Provider's Profile

Full Name	Tyler J Antenen
Gender	Male
Speciality	Physician Assistant
Experience	8 Years
Location	750 W D Ave, Kingman, Kansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tyler J Antenen graduated from nursing school in 2016

NPI Data:

NPI Number: 1104377647
Provider Enumeration Date: 10/19/2016
Last Update Date: 11/08/2022

Medicare PECOS Information:

PECOS PAC ID: 7113206988
Enrollment ID: I20161118000114

Medical Identifiers

Medical identifiers for Tyler J Antenen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104377647	NPI	-	NPPES
20114690A	Medicaid	KS
30003916630006	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1501947 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kingman Community Hospital	Kingman, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ninnescah Valley Health Systems Inc	5799683694	11

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 J Antenen 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 J Antenen, PA-C 750 W D Ave, Kingman, KS 67068-1266 Ph: (620) 532-0295	Tyler J Antenen, PA-C 750 W D Ave, Kingman, KS 67068-1266 Ph: (620) 532-0295

Reviews and Comments

Physician Assistant Nurses in Kingman, KS

Mr. Jeffery Leonard Henderson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 701 E A Ave, Kingman, KS 67068 Phone: 620-532-5145 Fax: 620-532-2586
Dennis Kalmar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002
Mr. Carl Lee Green, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-3147
Paul Halderson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-3147 Fax: 620-532-0167
Kathryn A Kimpler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 E A Ave, Kingman, KS 67068 Phone: 620-532-5145 Fax: 620-532-2478
Mr. Leroy E Shugart, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-3147 Fax: 620-532-3147

Tyler J Antenen, PA-C - Medicare Physician Assistant in Kingman, KS