Ty Pfau, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Glendale, Arizona. His current practice location is
18701 N 67th Ave, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at
(877) 934-9355.
Ty Pfau is licensed to practice in * (Not Available) (license number ) 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 1154901742.
Physician's Profile
| Full Name | Ty Pfau |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 18701 N 67th Ave, Glendale, Arizona |
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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: 1154901742
- Provider Enumeration Date: 04/09/2021
- Last Update Date: 06/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264977586
- Enrollment ID: I20240711000831
Medical Identifiers
Medical identifiers for Ty Pfau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154901742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 011065 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ty Pfau allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869 |
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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. Ty Pfau 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 |
Ty Pfau, DO 18701 N 67th Ave, Glendale, AZ 85308-7100 Ph: (877) 934-9355 | Ty Pfau, DO 18701 N 67th Ave, Glendale, AZ 85308-7100 Ph: (877) 934-9355 |
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