Tavis D Clonch, PA - Medicare Physician Assistant in Bristol, TN

Tavis D Clonch, PA is a medicare enrolled "Physician Assistant" in Bristol, Tennessee. His current practice location is 1 Medical Park Blvd Ste 300e, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 844-6450.

Tavis D Clonch is licensed to practice in * (Not Available) (license number ) 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 1629752514.

Contact Information

Tavis D Clonch, PA
1 Medical Park Blvd Ste 300e,
Bristol, TN 37620-7497
(423) 844-6450
(423) 844-6499

Map and Direction




Provider's Profile

Full NameTavis D Clonch
GenderMale
SpecialityPhysician Assistant
Location1 Medical Park Blvd Ste 300e, Bristol, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629752514
  • Provider Enumeration Date: 06/12/2023
  • Last Update Date: 06/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062870827
  • Enrollment ID: I20230627000546

Medical Identifiers

Medical identifiers for Tavis D Clonch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629752514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (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. Tavis D Clonch 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
Tavis D Clonch, PA
1 Medical Park Blvd Ste 300e,
Bristol, TN 37620-7497

Ph: (423) 844-6450
Tavis D Clonch, PA
1 Medical Park Blvd Ste 300e,
Bristol, TN 37620-7497

Ph: (423) 844-6450

Reviews and Comments


Physician Assistant Nurses in Bristol, TN

Patricia Ann Cook, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Park Blvd, Ste 250 West, Bristol, TN 37620
Phone: 423-844-6407    Fax: 866-288-1451
Caroline Grace Derrick, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 271 Medical Park Blvd, Bristol, TN 37620
Phone: 423-274-8600    
Savanna Marie Barber, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd Ste 300e, Bristol, TN 37620
Phone: 423-844-6450    
Christopher Eugene Justus, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd, Suite 400 East, Bristol, TN 37620
Phone: 423-844-5400    Fax: 423-844-5434
Ashley A Stevenson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd, Suite 458w, Bristol, TN 37620
Phone: 423-230-6900    Fax: 423-230-5097
Mr. Trevor Adrian Daniel Gorman, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Medical Park Blvd Ste 400e, Bristol, TN 37620
Phone: 423-844-5400    
Brian Keith Elliott, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-5800    

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.