Tristan Pitt, PA-C - Medicare Physician Assistant in Fond Du Lac, WI

Tristan Pitt, PA-C is a medicare enrolled "Physician Assistant" in Fond Du Lac, Wisconsin. His current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 929-2300.

Tristan Pitt is licensed to practice in * (Not Available) (license number ) 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 1104556166.

Contact Information

Tristan Pitt, PA-C
430 E Division St,
Fond Du Lac, WI 54935-4560
(920) 929-2300
Not Available



Provider's Profile

Full NameTristan Pitt
GenderMale
SpecialityPhysician Assistant
Location430 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104556166
  • Provider Enumeration Date: 06/13/2022
  • Last Update Date: 06/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597140947
  • Enrollment ID: I20220921000910

Medical Identifiers

Medical identifiers for Tristan Pitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104556166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Tristan Pitt 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
Tristan Pitt, PA-C
1831 Glenview Ave,
Green Bay, WI 54303-6406

Ph: (920) 660-4521
Tristan Pitt, PA-C
430 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 929-2300

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Physician Assistant Nurses in Fond Du Lac, WI

Mr. Joseph Jon Deboer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-2300    
Mrs. Adriane Janet Leonard, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-2300    Fax: 920-926-8370
Erin C. Rottier, M.S., PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-2300    
Teegan R Kraus, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 889 E Johnson St, Fond Du Lac, WI 54935
Phone: 920-367-6700    Fax: 262-700-4657
Mrs. Cynthia Nicole Wittwer, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-2300    
Betty Xiong-thompson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937
Phone: 920-907-7000    Fax: 920-907-7162

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