Tyna L Queen-persad, PA - Medicare Physician Assistant in Washington, DC

Tyna L Queen-persad, PA is a medicare enrolled "Physician Assistant" in Washington, District Of Columbia. Her current practice location is 1150 Varnum St Ne, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 269-7001.

Tyna L Queen-persad is licensed to practice in District Of Columbia (license number PA030370) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205866241.

Contact Information

Tyna L Queen-persad, PA
1150 Varnum St Ne,
Washington, DC 20017
(202) 269-7001
Not Available



Provider's Profile

Full NameTyna L Queen-persad
GenderFemale
SpecialityPhysician Assistant
Location1150 Varnum St Ne, Washington, District Of Columbia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205866241
  • Provider Enumeration Date: 07/04/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9638185960
  • Enrollment ID: I20060223000775

Medical Identifiers

Medical identifiers for Tyna L Queen-persad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205866241NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA030370 (District Of Columbia)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. Tyna L Queen-persad 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
Tyna L Queen-persad, PA
1150 Varnum St Ne,
Washington, DC 20017

Ph: (202) 269-7001
Tyna L Queen-persad, PA
1150 Varnum St Ne,
Washington, DC 20017

Ph: (202) 269-7001

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Phone: 202-444-7562    
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