| Tyler Jay Shaw, PA | |
|
5304 Road 68, Pasco, WA 99301-8078 | |
| (509) 543-9300 | |
| Not Available |
| Full Name | Tyler Jay Shaw |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 5304 Road 68, Pasco, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548612153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Northwest Physician Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275567919 PECOS PAC ID: 4183523806 Enrollment ID: O20031231000754 |
| Entity Name | Columbia County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134128911 PECOS PAC ID: 5597653758 Enrollment ID: O20040309000515 |
| Entity Name | Northwest Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
| Entity Name | Lourdes Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659861060 PECOS PAC ID: 1850642562 Enrollment ID: O20181113000853 |
| Entity Name | Health First Urgent Care, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821633223 PECOS PAC ID: 6507288990 Enrollment ID: O20200611001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Jay Shaw, PA 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 Ph: (509) 460-5588 | Tyler Jay Shaw, PA 5304 Road 68, Pasco, WA 99301-8078 Ph: (509) 543-9300 |
Jesse Manuel Clossey, Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 N 4th Ave, Pasco, WA 99301 Phone: 509-946-2207 |
Eyob G Kidane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7425 Wrigley Dr, Ste 100, Pasco, WA 99301 Phone: 509-416-8888 Fax: 509-545-6842 |
Tina Tran, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4904 Kennedy Way, Pasco, WA 99301 Phone: 509-212-9585 |
William Henry Hanson, PA-C, DPM Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5304 N Road 68, Pasco, WA 99301 Phone: 509-543-9300 |
Ms. Jennelle Ashley Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1608 N Road 44, Pasco, WA 99301 Phone: 509-543-9280 Fax: 509-545-6275 |
Eric Pearson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5304 Road 68, Pasco, WA 99301 Phone: 509-543-9300 |
Carrie V West, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 4403 W Court St, Suite B, Pasco, WA 99301 Phone: 509-545-6620 Fax: 509-545-6842 |