Mr David Pearce Fannon, MPAS, PA-C - Medicare Physician Assistant in Tyler, TX

Mr David Pearce Fannon, MPAS, PA-C is a medicare enrolled "Physician Assistant - Medical" in Tyler, Texas. His current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 606-4262.

Mr David Pearce Fannon is licensed to practice in Texas (license number PA08166) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154660975.

Contact Information

Mr David Pearce Fannon, MPAS, PA-C
800 E Dawson St,
Tyler, TX 75701-2036
(903) 606-4262
Not Available



Provider's Profile

Full NameMr David Pearce Fannon
GenderMale
SpecialityPhysician Assistant - Medical
Location800 E Dawson St, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154660975
  • Provider Enumeration Date: 02/14/2013
  • Last Update Date: 04/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012155245
  • Enrollment ID: I20130530000287

Medical Identifiers

Medical identifiers for Mr David Pearce Fannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154660975NPI-NPPES
P02592821OtherTXMCRR
P02592787OtherTXMCRR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (Texas)Secondary
363AM0700XPhysician Assistant - Medical PA08166 (Texas)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. Mr David Pearce Fannon 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 AddressPractice Location Address
Mr David Pearce Fannon, MPAS, PA-C
8198 Walnut Hill Ln, Suite 2007,
Dallas, TX 75231-4316

Ph: (214) 345-4733
Mr David Pearce Fannon, MPAS, PA-C
800 E Dawson St,
Tyler, TX 75701-2036

Ph: (903) 606-4262

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Physician Assistant Nurses in Tyler, TX

David Robert Dewalch, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701
Phone: 903-596-3488    
Mrs. Dawn Elise O'neal, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 700 Olympic Plaza Cir Ste 410, Tyler, TX 75701
Phone: 903-531-8950    
Charles Crowell Pierce, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 619 S Fleishel Ave Ste 305, Tyler, TX 75701
Phone: 903-606-1173    
Jordan Fayth Cooke, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 8101 S Broadway Ave, Tyler, TX 75703
Phone: 903-939-7500    Fax: 903-939-7728
Mrs. Megan Renee Followwell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5777 New Copeland Rd, Tyler, TX 75703
Phone: 903-561-9255    
Miss Natalie Shea Williams, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1020 E Idel St, Tyler, TX 75701
Phone: 903-535-2902    Fax: 903-535-9217
Amber Blissett, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1350 E Richards St, Tyler, TX 75702
Phone: 903-531-9455    

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