Tyler Kian Owens, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Clemmons, North Carolina. His current practice location is
2554 Lewisville Clemmons Rd Ste 209, Clemmons, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 660-6000.
Tyler Kian Owens 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 1477361244.
Physician's Profile
Full Name | Tyler Kian Owens |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 2554 Lewisville Clemmons Rd Ste 209, Clemmons, North Carolina |
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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: 1477361244
- Provider Enumeration Date: 12/24/2024
- Last Update Date: 03/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961926241
- Enrollment ID: I20250408002286
Medical Identifiers
Medical identifiers for Tyler Kian Owens such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477361244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 0010-15027 (North Carolina) | Secondary |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 0010-15027 (North Carolina) | Secondary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | 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. Tyler Kian Owens 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 Kian Owens, PA-C 2554 Lewisville Clemmons Rd Ste 209, Clemmons, NC 27012-8749 Ph: () - | Tyler Kian Owens, PA-C 2554 Lewisville Clemmons Rd Ste 209, Clemmons, NC 27012-8749 Ph: (336) 660-6000 |
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