Tyler Wagstaff, in Kalispell, MT - Medicare Physician Assistant

Tyler Wagstaff, is a medicare enrolled "Physician Assistant" in Kalispell, Montana. His current practice location is 160 Heritage Way Ste 202, Kalispell, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 752-8433.

Tyler Wagstaff is licensed to practice in Montana (license number MED-PAC-LIC-79860) 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 1205266053.

Contact Information

	Tyler Wagstaff,
	160 Heritage Way Ste 202, Kalispell, MT 59901-3127
	(406) 752-8433
	(406) 756-6768

Provider's Profile

Full Name	Tyler Wagstaff
Gender	Male
Speciality	Physician Assistant
Location	160 Heritage Way Ste 202, Kalispell, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205266053
Provider Enumeration Date: 11/14/2013
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 4183853310
Enrollment ID: I20191227001961

Medical Identifiers

Medical identifiers for Tyler Wagstaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205266053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA1227 (Idaho)	Secondary
363A00000X	Physician Assistant	MED-PAC-LIC-79860 (Montana)	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 Wagstaff 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
Tyler Wagstaff, 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 Ph: (406) 257-8992	Tyler Wagstaff, 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 Ph: (406) 752-8433

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Physician Assistant Nurses in Kalispell, MT

Stephanie K Eastburn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Sunnyview Ln, Kalispell, MT 59901 Phone: 406-752-7441 Fax: 406-257-0304
Kyle Austin, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1287 Burns Way, Kalispell, MT 59901 Phone: 406-752-8120 Fax: 406-752-8896
Ms. Susan Cahill, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 40 2nd St E, Suite 225, Kalispell, MT 59901 Phone: 406-250-4594 Fax: 406-755-1645
Steven Craig Trimble, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Sunnyview Ln, Kalispell, MT 59901 Phone: 406-752-7900 Fax: 406-257-0253
Eric J Belanger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 245 Windward Way Ste 101, Kalispell, MT 59901 Phone: 406-756-8488 Fax: 406-257-4663
Raymond Tabo Saito, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 350 Heritage Way, Suite 1200, Kalispell, MT 59901 Phone: 406-752-6784 Fax: 406-756-4111
Kaitlyn Rose Sterry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 205 Sunnyview Ln, Kalispell, MT 59901 Phone: 406-758-7035

Tyler Wagstaff, - Medicare Physician Assistant in Kalispell, MT