MR. EDOUARD JOSEPH TASSY (PA) – Medical Physician Assistant, NPI 1760442875
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for MR. EDOUARD JOSEPH TASSY (PA)
709 N Lincoln Ave
Jerome, ID 833381851
Phone: (208) 814-9500
Type: Location
SR 104, Chillicothe, Ross County, Ohio, 45601, United States
CHILLICOTHE, OH 456018608
Phone: (740) 773-1141
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180110003586 | I | Physician Assistant | OH | TBD |
| I20240910004171 | I | Physician Assistant | ID | TBD |
| I20250430000436 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83338)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Internal Medicine | NV | |
| Physician Assistant | MI | |
| Hospitalist, Internal Medicine | NY | |
| Internal Medicine | OH | |
| Internal Medicine | FL | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | AR |
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