Ms Mary E Tyler, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Muskegon Heights, Michigan. Her current practice location is
2700 Baker St, Muskegon Heights, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 737-1335.
Ms Mary E Tyler is licensed to practice in Michigan (license number 6802079451) 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 1780805051.
Healthcare Provider's Profile
| Full Name | Ms Mary E Tyler |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2700 Baker St, Muskegon Heights, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780805051
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 04/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 4587095393
- Enrollment ID: I20200512000612
Medical Identifiers
Medical identifiers for Ms Mary E Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780805051 | NPI | - | NPPES |
| 1780805051 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 6802079451 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Mary E Tyler allows following entities to bill medicare on her behalf.
| Entity Name | Hackley Community Care Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629066238
PECOS PAC ID: 8123015492
Enrollment ID: O20040511001126 |
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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. Ms Mary E Tyler 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 |
|---|
Ms Mary E Tyler, LMSW
2700 Baker St Fl 3,
Muskegon Heights, MI 49444-2157
Ph: (231) 737-1335 | Ms Mary E Tyler, LMSW
2700 Baker St,
Muskegon Heights, MI 49444-2157
Ph: (231) 737-1335 |
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