Tyson Scott Smith, PA-C in Pasadena, CA - Medicare Physician Assistant

Tyson Scott Smith, PA-C is a medicare enrolled "Physician Assistant" in Pasadena, California. His current practice location is 325 Cordova St Apt 324, Pasadena, California. You can reach out to his office (for appointments etc.) via phone at (801) 473-6501.

Tyson Scott Smith is licensed to practice in California (license number 61389) 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 1750016879.

Contact Information

	Tyson Scott Smith, PA-C
	325 Cordova St Apt 324, Pasadena, CA 91101-4692
	(801) 473-6501
	Not Available

Map and Direction

Provider's Profile

Full Name	Tyson Scott Smith
Gender	Male
Speciality	Physician Assistant
Location	325 Cordova St Apt 324, Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750016879
Provider Enumeration Date: 07/21/2022
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 5991174971
Enrollment ID: I20221214000783

Medical Identifiers

Medical identifiers for Tyson Scott Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750016879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	61389 (California)	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. Tyson Scott Smith 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
Tyson Scott Smith, PA-C 8635 W 3rd St Ste 990w, Los Angeles, CA 90048-6116 Ph: (310) 423-5900	Tyson Scott Smith, PA-C 325 Cordova St Apt 324, Pasadena, CA 91101-4692 Ph: (801) 473-6501

Reviews and Comments

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Tyson Scott Smith, PA-C - Medicare Physician Assistant in Pasadena, CA