Mr Tyson E Bubnar, PA-C - Medicare Physician Assistant in Fairmont, WV

  1. Home
  2. Physician Assistant
  3. WV
  4. Fairmont
Mr Tyson E Bubnar, PA-C is a medicare enrolled "Physician Assistant" in Fairmont, West Virginia. He graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sanjay Bharti Md, Pllc, Southern California Permanente Medical Group and his current practice location is 1325 Locust Ave, Fairmont, West Virginia. You can reach out to his office (for appointments etc.) via phone at (907) 947-4406.

Mr Tyson E Bubnar is licensed to practice in West Virginia (license number 699) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720312861.

Contact Information

Mr Tyson E Bubnar, PA-C
1325 Locust Ave,
Fairmont, WV 26554-1435
(907) 947-4406
Not Available

Map and Direction




Provider's Profile

Full NameMr Tyson E Bubnar
GenderMale
SpecialityPhysician Assistant
Experience17 Years
Location1325 Locust Ave, Fairmont, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Tyson E Bubnar graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1720312861
  • Provider Enumeration Date: 09/22/2009
  • Last Update Date: 05/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7810293321
  • Enrollment ID: I20160309002250

Medical Identifiers

Medical identifiers for Mr Tyson E Bubnar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720312861NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 931 (Alaska)Secondary
363A00000XPhysician Assistant 699 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital - Woodland HillsWoodland hills, CAHospital
West Virginia University Hospitals, IncMorgantown, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanjay Bharti Md, Pllc82241712517
Southern California Permanente Medical Group600272917511250

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Tyson E Bubnar allows following entities to bill medicare on his behalf.
Entity NameStonewall Jackson Memorial Hospital Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477559433
PECOS PAC ID: 4284530551
Enrollment ID: O20040130000739
Entity NameSanjay Bharti MD, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962532549
PECOS PAC ID: 8224171251
Enrollment ID: O20100303000159
Entity NameWest Virginia Emergency Physicians LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952776379
PECOS PAC ID: 7618270323
Enrollment ID: O20160128002708

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 Tyson E Bubnar 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 AddressPractice Location Address
Mr Tyson E Bubnar, PA-C
23434 Glenn Hill Cir,
Chugiak, AK 99567-6278

Ph: (907) 947-4406		Mr Tyson E Bubnar, PA-C
1325 Locust Ave,
Fairmont, WV 26554-1435

Ph: (907) 947-4406

Reviews and Comments


Physician Assistant Nurses in Fairmont, WV

Ms. Rubina K Dasilva, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1322 Locust Ave, Fairmont, WV 26554
Phone: 304-366-0700    Fax: 304-366-9529
Jordan Campbell,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3527 Fairmont Ave, Fairmont, WV 26554
Phone: 681-489-6221    
Stephen Mcqueen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Locust Ave, Fairmont, WV 26554
Phone: 304-974-3297    Fax: 304-974-3299
Ann Louise Nicely, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 60 Roxbury Rd, Whitehall Medical, Pllc, Fairmont, WV 26554
Phone: 304-363-6600    Fax: 304-363-7700
Chantal D Agnew, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Locust Ave, Fairmont, WV 26554
Phone: 304-534-7810    
Nathan Arvon,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Locust Ave, Fairmont, WV 26554
Phone: 304-534-7810    Fax: 681-753-5801
Erica S Knotts, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 130 Kaufman Dr, Fairmont, WV 26554
Phone: 304-363-5633    Fax: 304-363-5712

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.