Travis Lynn Clary, PA-C is a
Physician Assistant based in Mount Horeb, Wisconsin. Travis Lynn Clary is licensed to practice in Wisconsin (license number ) and his current practice location is
208 S Brookwood Dr Apt 110, Mount Horeb, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 904-7024.
NPI number for Travis Lynn Clary is 1902751191 and his current mailing address is 208 S Brookwood Dr Apt 110, Mount Horeb, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902751191.
Provider's Profile
| Full Name | Travis Lynn Clary |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 208 S Brookwood Dr Apt 110, Mount Horeb, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902751191
- Provider Enumeration Date: 03/03/2026
- Last Update Date: 03/03/2026
Medical Identifiers
Medical identifiers for Travis Lynn Clary such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902751191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (Wisconsin) | 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. Travis Lynn Clary is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Travis Lynn Clary, PA-C 208 S Brookwood Dr Apt 110, Mount Horeb, WI 53572-3647 Ph: (920) 904-7024 | Travis Lynn Clary, PA-C 208 S Brookwood Dr Apt 110, Mount Horeb, WI 53572-3647 Ph: (920) 904-7024 |
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