Tayler Elizabeth Bitter, PA
Individual provider Active NPI Medical Physician Assistant · Apache Junction, AZ
NPI 1811516784 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1811516784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 8177 (AZ)
- Practice address
- 725 W Apache TRL Ste 4
Apache Junction, AZ 85120-3963 - Phone
- (480) 870-7130
- Fax
- (480) 906-2171
- NPI assigned
- Apr 10, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210302000639 | AZ | Practitioner - Physician Assistant | 4486060357 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8177 | AZ | MD | Medical Physician Assistant |
Interoperability endpoints
- tbitter@hmg.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 8177 | AZ | Yes |
Addresses
Primary practice location
725 W Apache TRL Ste 4
Apache Junction, AZ 85120-3963
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Other practice location 1
902 Country Clb
Tooele, UT 84074-9631
Phone (801) 870-2876
Other practice location 2
300 S Phelps Dr
Apache Junction, AZ 85120-6700
Phone (480) 536-6850
Other providers in Apache Junction, AZ
- Manu Bhakoo
- Nicholas Ryan Bibeau
- Big Star Empowerment
- John Arthur Bigler
- Jean-Guy Bilodeau
- BKD Apache Junction Operator, LLC
- Blaze Pharmacy Dba Verra RX
- Fawn Boonstra
- Brian M Bouck
- Annette Bouw
All providers in Apache Junction, AZ · Medical Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.