Tyler Jay Shaw, PA - Medicare Physician Assistant in Pasco, WA

Tyler Jay Shaw, PA is a medicare enrolled "Physician Assistant" in Pasco, Washington. His current practice location is 5304 Road 68, Pasco, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 543-9300.

Tyler Jay Shaw 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 1548612153.

Contact Information

Tyler Jay Shaw, PA
5304 Road 68,
Pasco, WA 99301-8078
(509) 543-9300
Not Available



Provider's Profile

Full NameTyler Jay Shaw
GenderMale
SpecialityPhysician Assistant
Location5304 Road 68, Pasco, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548612153
  • Provider Enumeration Date: 07/07/2016
  • Last Update Date: 10/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9931496528
  • Enrollment ID: I20160926001204

Medical Identifiers

Medical identifiers for Tyler Jay Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548612153NPI-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. Tyler Jay Shaw 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
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

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› Verified 5 days ago


Physician Assistant Nurses in Pasco, WA

Jesse Manuel Clossey,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 520 N 4th Ave, Pasco, WA 99301
Phone: 509-946-2207    
Ashley Amey,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1608 Road 44, Pasco, WA 99301
Phone: 509-543-9280    Fax: 509-545-6275
Hiep Nguyen,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1608 Road 44, Pasco, WA 99301
Phone: 509-543-9820    Fax: 509-545-6275
Eyob G Kidane, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7425 Wrigley Dr, Ste 100, Pasco, WA 99301
Phone: 509-416-8888    Fax: 509-545-6842
Javier A Huerta, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 515 W Court St, Pasco, WA 99301
Phone: 509-547-2204    Fax: 509-542-8836
Zandra Magali Melchor, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1608 Road 44, Pasco, WA 99301
Phone: 509-543-9280    
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    

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