Anthony Thomas Scoccolo, PA-S is a
Technician, Other based in Las Vegas, Nevada. Anthony Thomas Scoccolo is licensed to practice in * (Not Available) (license number ) and his current practice location is
1785 E Sahara Ave, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 823-4300.
NPI number for Anthony Thomas Scoccolo is 1932915717 and his current mailing address is 4942 N Island Dr E, Bonney Lake, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932915717.
Provider's Profile
| Full Name | Anthony Thomas Scoccolo |
|---|
| Gender | Male |
|---|
| Speciality | Technician, Other |
|---|
| Location | 1785 E Sahara Ave, Las Vegas, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932915717
- Provider Enumeration Date: 12/06/2024
- Last Update Date: 07/27/2025
Medical Identifiers
Medical identifiers for Anthony Thomas Scoccolo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932915717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 247200000X | Technician, Other | (* (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. Anthony Thomas Scoccolo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Anthony Thomas Scoccolo, PA-S
4942 N Island Dr E,
Bonney Lake, WA 98391-8608
Ph: (206) 595-5314 | Anthony Thomas Scoccolo, PA-S
1785 E Sahara Ave,
Las Vegas, NV 89104-3733
Ph: (702) 823-4300 |
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