Ty Pfau, DO in Glendale, AZ - Medicare General Practice

Ty Pfau, DO is a medicare enrolled "General Practice" 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 Arizona (license number 011065) 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.

Contact Information

	Ty Pfau, DO
	18701 N 67th Ave, Glendale, AZ 85308-7100
	(877) 934-9355
	Not Available

Map and Direction

Physician's Profile

Full Name	Ty Pfau
Gender	Male
Speciality	General Practice
Location	18701 N 67th Ave, Glendale, Arizona
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: 05/07/2026

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)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869

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

Reviews and Comments

General Practice Doctors in Glendale, AZ

Karen Patricia Gonsalves-wetherell, MD General Practice Medicare: Medicare Enrolled Practice Location: 5620 W Thunderbird Rd, F1, Glendale, AZ 85306 Phone: 602-938-6960 Fax: 602-938-6069
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Dr. Carlos Mendoza Cazares, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 6717 N 59th Ave, Glendale, AZ 85301 Phone: 623-939-1411 Fax: 623-939-1465

Ty Pfau, DO - Medicare General Practice in Glendale, AZ