Mr David Pearce Fannon, MPAS, PA-C in Tyler, TX

Mr David Pearce Fannon, MPAS, PA-C is a medicare enrolled "Physician Assistant - Medical" in Tyler, Texas. His current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 606-4262.

Mr David Pearce Fannon is licensed to practice in Texas (license number PA08166) 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 1154660975.

Contact Information

	Mr David Pearce Fannon, MPAS, PA-C
	800 E Dawson St, Tyler, TX 75701-2036
	(903) 606-4262
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr David Pearce Fannon
Gender	Male
Speciality	Physician Assistant - Medical
Location	800 E Dawson St, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154660975
Provider Enumeration Date: 02/14/2013
Last Update Date: 04/06/2021

Medicare PECOS Information:

PECOS PAC ID: 7012155245
Enrollment ID: I20130530000287

Medical Identifiers

Medical identifiers for Mr David Pearce Fannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154660975	NPI	-	NPPES
P02592821	Other	TX	MCRR
P02592787	Other	TX	MCRR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(Texas)	Secondary
363AM0700X	Physician Assistant - Medical	PA08166 (Texas)	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. Mr David Pearce Fannon 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
Mr David Pearce Fannon, MPAS, PA-C 8198 Walnut Hill Ln, Suite 2007, Dallas, TX 75231-4316 Ph: (214) 345-4733	Mr David Pearce Fannon, MPAS, PA-C 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 606-4262

Reviews and Comments

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Mr David Pearce Fannon, MPAS, PA-C - Medicare Physician Assistant in Tyler, TX