Allyson Entwistle, in San Bernardino, CA - Medicare Physician Assistant

Allyson Entwistle, is a medicare enrolled "Physician Assistant" physician in San Bernardino, California. Her current practice location is 2101 N Waterman Ave, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 883-8711.

Allyson Entwistle is licensed to practice in California (license number 63414) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275313686.

Contact Information

	Allyson Entwistle,
	2101 N Waterman Ave, San Bernardino, CA 92404-4836
	(909) 883-8711
	Not Available

Physician's Profile

Full Name	Allyson Entwistle
Gender	Female
Speciality	Physician Assistant
Location	2101 N Waterman Ave, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275313686
Provider Enumeration Date: 10/03/2023
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1456701028
Enrollment ID: I20231221003075

Medical Identifiers

Medical identifiers for Allyson Entwistle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275313686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	PA63414 (California)	Secondary
363A00000X	Physician Assistant	63414 (California)	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. Allyson Entwistle 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 Address	Practice Location Address
Allyson Entwistle, 34969 Shadow Wood Dr, Yucaipa, CA 92399-3311 Ph: (909) 838-2494	Allyson Entwistle, 2101 N Waterman Ave, San Bernardino, CA 92404-4836 Ph: (909) 883-8711

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Allyson Entwistle, - Medicare Physician Assistant in San Bernardino, CA