John Tyler Vercusky, PA-C is a medicare enrolled "Physician Assistant" in Hanover Township, Pennsylvania. His current practice location is
111 W End Rd Ste 101, Hanover Township, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 208-4035.
John Tyler Vercusky is licensed to practice in Pennsylvania (license number OA007373) 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 1427876101.
Provider's Profile
| Full Name | John Tyler Vercusky |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 111 W End Rd Ste 101, Hanover Township, Pennsylvania |
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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: 1427876101
- Provider Enumeration Date: 10/01/2024
- Last Update Date: 09/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466989090
- Enrollment ID: I20241220002026
Medical Identifiers
Medical identifiers for John Tyler Vercusky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427876101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | OA007373 (Pennsylvania) | Primary |
| 363AM0700X | Physician Assistant - Medical | MA066081 (Pennsylvania) | Secondary |
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. John Tyler Vercusky 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 |
John Tyler Vercusky, PA-C 111 W End Rd Ste 101, Hanover Township, PA 18706-5448 Ph: () - | John Tyler Vercusky, PA-C 111 W End Rd Ste 101, Hanover Township, PA 18706-5448 Ph: (570) 208-4035 |
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