Tyler Isaac Scicchitano, PA-C is a 
Physician Assistant - Medical based in Mahanoy City, Pennsylvania. Tyler Isaac Scicchitano is licensed to practice in Pennsylvania (license number MA060996) and his current practice location is 
5 White Owl Ave, Mahanoy City, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at 
(570) 773-5388.
NPI number for Tyler Isaac Scicchitano is 1730738709 and his current mailing address is 5 White Owl Ave, Mahanoy City, Pennsylvania. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730738709.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Tyler Isaac Scicchitano | 
|---|
| Gender | Male | 
|---|
| Speciality | Physician Assistant - Medical | 
|---|
| Location | 5 White Owl Ave, Mahanoy City, Pennsylvania | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1730738709
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 03/16/2023
 
		 
		 
Medical Identifiers
		Medical identifiers for Tyler Isaac Scicchitano such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1730738709 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 363AM0700X | Physician Assistant - Medical | MA060996 (Pennsylvania) | Primary | 
| 207R00000X | Internal Medicine | MA060996 (Pennsylvania) | Secondary | 
		
		
			
			
			
		
		
		 
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. Tyler Isaac Scicchitano 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 | 
|---|
		| Tyler Isaac Scicchitano, PA-C 5 White Owl Ave,
 Mahanoy City, PA 17948-3000
 Ph: (866) 345-1543
 | Tyler Isaac Scicchitano, PA-C 5 White Owl Ave,
 Mahanoy City, PA 17948-3000
 Ph: (570) 773-5388
 | 
		
		 
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