Mr Daryl E Tibbs, PA-C is a medicare enrolled "Physician Assistant" physician in Newport Beach, California. His current practice location is
360 San Miguel Dr Ste 501, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at
(949) 720-1170.
Mr Daryl E Tibbs is licensed to practice in North Carolina (license number 001000261) 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 1265452007.
Physician's Profile
| Full Name | Mr Daryl E Tibbs |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 360 San Miguel Dr Ste 501, Newport Beach, California |
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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: 1265452007
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 11/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 3072693092
- Enrollment ID: I20080103000454
Medical Identifiers
Medical identifiers for Mr Daryl E Tibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265452007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | PA18738 (California) | Secondary |
| 363A00000X | Physician Assistant | 001000261 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Daryl E Tibbs allows following entities to bill medicare on his behalf.
| Entity Name | Island Dermatology, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508815556 PECOS PAC ID: 1850395070 Enrollment ID: O20060830000569 |
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| Entity Name | Pure Dermatology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912246570 PECOS PAC ID: 7416192323 Enrollment ID: O20130326000129 |
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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. Mr Daryl E Tibbs 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 |
Mr Daryl E Tibbs, PA-C 360 San Miguel Dr Ste 501, Newport Beach, CA 92660-7831 Ph: (949) 720-1170 | Mr Daryl E Tibbs, PA-C 360 San Miguel Dr Ste 501, Newport Beach, CA 92660 Ph: (949) 720-1170 |
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