Mr Tylen Joe Pavlovsky, PA-C - Medicare Physician Assistant in Alamosa, CO

Mr Tylen Joe Pavlovsky, PA-C is a medicare enrolled "Physician Assistant" in Alamosa, Colorado. His current practice location is 106 Blanca Ave, Alamosa, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 589-3000.

Mr Tylen Joe Pavlovsky is licensed to practice in Colorado (license number PA.0007719) 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 1013621697.

Contact Information

Mr Tylen Joe Pavlovsky, PA-C
106 Blanca Ave,
Alamosa, CO 81101-2340
(719) 589-3000
Not Available



Provider's Profile

Full NameMr Tylen Joe Pavlovsky
GenderMale
SpecialityPhysician Assistant
Location106 Blanca Ave, Alamosa, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013621697
  • Provider Enumeration Date: 01/09/2023
  • Last Update Date: 01/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103297494
  • Enrollment ID: I20230124003156

Medical Identifiers

Medical identifiers for Mr Tylen Joe Pavlovsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013621697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA.0007719 (Colorado)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 Tylen Joe Pavlovsky 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 Tylen Joe Pavlovsky, PA-C
106 Blanca Ave,
Alamosa, CO 81101-2340

Ph: (719) 589-3000
Mr Tylen Joe Pavlovsky, PA-C
106 Blanca Ave,
Alamosa, CO 81101-2340

Ph: (719) 589-3000

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Physician Assistant Nurses in Alamosa, CO

Edward Kulp, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2115 Stuart Ave, Alamosa, CO 81101
Phone: 719-589-8082    Fax: 719-587-6354
Amy Nicole Blakeslee, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2115 Stuart Ave, Alamosa, CO 81101
Phone: 719-589-8082    
Johnny B Sisneros, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 106 Blanca Ave Ste 300, Alamosa, CO 81101
Phone: 719-589-3658    
Botond A Vita, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2115 Stuart Ave, Alamosa, CO 81101
Phone: 719-589-8091    Fax: 719-589-8112
Mr. Howard William Cox, P.A.-C.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 106 Blanca Ave, Alamosa, CO 81101
Phone: 719-589-8073    Fax: 719-589-8087
Laticia R Hollingsworth, P.A.-C, ATC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 106 Blanca Ave, Orthopedic Department, Alamosa, CO 81101
Phone: 719-589-8091    Fax: 719-589-8012

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