Zackery J Tegge, MCMS, PA-C - Medicare Physician Assistant in Christiansted, VI

Zackery J Tegge, MCMS, PA-C is a medicare enrolled "Physician Assistant" in Christiansted, Virgin Island. His current practice location is 4007 Estate Diamond Ruby, Christiansted, Virgin Island. You can reach out to his office (for appointments etc.) via phone at (340) 778-6311.

Zackery J Tegge is licensed to practice in Wisconsin (license number 4320) 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 1366974123.

Contact Information

Zackery J Tegge, MCMS, PA-C
4007 Estate Diamond Ruby,
Christiansted, VI 00820
(340) 778-6311
Not Available



Provider's Profile

Full NameZackery J Tegge
GenderMale
SpecialityPhysician Assistant
Location4007 Estate Diamond Ruby, Christiansted, Virgin Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366974123
  • Provider Enumeration Date: 03/31/2017
  • Last Update Date: 04/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8628324506
  • Enrollment ID: I20180706001895

Medical Identifiers

Medical identifiers for Zackery J Tegge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366974123NPI-NPPES
100077680MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 4320 (Wisconsin)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. Zackery J Tegge 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
Zackery J Tegge, MCMS, PA-C
1035 Kepler Dr,
Green Bay, WI 54311-8320

Ph: () -
Zackery J Tegge, MCMS, PA-C
4007 Estate Diamond Ruby,
Christiansted, VI 00820

Ph: (340) 778-6311

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Physician Assistant Nurses in Christiansted, VI

Camille Marise Paul, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4500 Sunny Isle, Ste. 9, Island Medical Center, Christiansted, VI 00820
Phone: 340-778-1802    
Lindsey Lee Kranson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4007 Estate Diamond Ruby, Christiansted, VI 00820
Phone: 340-778-6311    
Larissa Leffingwell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4100 Sion Farm Shopp Ctr, 5, Christiansted, VI 00820
Phone: 340-713-7000    
Jessica Erin Carter,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4423 Queen Mary Hwy, Christiansted, VI 00820
Phone: 340-692-5000    
Josephine Widjaja Kozloff, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6040 Castle Coakley, Christiansted, VI 00820
Phone: 340-998-2404    Fax: 340-713-7272
John Salo,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4007 Estate Diamond Ruby, Christiansted, VI 00820
Phone: 340-778-6311    Fax: 340-772-7303
Mr. Jason Alan Snow, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4100 Sion Farm Shopp Ctr Ste 5, Christiansted, VI 00820
Phone: 340-513-7801    Fax: 340-713-7001

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