| Tristen Amber Pack, PA-C | |
|
388 Ben Bolt Ave, Tazewell, VA 24651-5386 | |
| (276) 988-8740 | |
| (276) 988-5941 |
| Full Name | Tristen Amber Pack |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 388 Ben Bolt Ave, Tazewell, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942632245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 54-0506332 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110004364 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Home Care Services Tazewell | Tazewell, VA | Home health agency |
| Carilion Tazewell Community Hospital | Tazewell, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Medical Center | 9830096585 | 956 |
| Carilion Giles Community Hospital | 3678670221 | 223 |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
| Entity Name | Carilion Rockbridge Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20040820000838 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1649423815 PECOS PAC ID: 9830096585 Enrollment ID: O20090320000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Tristen Amber Pack, PA-C 388 Ben Bolt Ave, Tazewell, VA 24651-5386 Ph: (276) 988-8740 | Tristen Amber Pack, PA-C 388 Ben Bolt Ave, Tazewell, VA 24651-5386 Ph: (276) 988-8740 |
Mr. Sachin Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-8740 Fax: 276-988-5941 |
Jacob Bowles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-8850 Fax: 276-988-6050 |
Mrs. Courtney Brooks Beckner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 513 Orange St, Tazewell, VA 24651 Phone: 276-979-5947 |