Mia Talley, PA-C is a medicare enrolled "Physician Assistant" in De Soto, Kansas. Her current practice location is
8960 Commerce Dr Ste 4e, De Soto, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 789-3961.
Mia Talley is licensed to practice in Kansas (license number 15-02978) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225855018.
Provider's Profile
| Full Name | Mia Talley |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 8960 Commerce Dr Ste 4e, De Soto, Kansas |
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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: 1225855018
- Provider Enumeration Date: 09/23/2024
- Last Update Date: 10/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476080888
- Enrollment ID: I20241226000639
Medical Identifiers
Medical identifiers for Mia Talley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225855018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 15-02978 (Kansas) | 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. Mia Talley 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 |
Mia Talley, PA-C 8960 Commerce Dr Ste 4e, De Soto, KS 66018-8431 Ph: (913) 789-3961 | Mia Talley, PA-C 8960 Commerce Dr Ste 4e, De Soto, KS 66018-8431 Ph: (913) 789-3961 |
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