Beverly Ann Tyler, MD | |
104 Plumtree Road, Suite 115, Bel Air, MD 21015-5901 | |
(410) 515-4300 | |
(410) 515-4318 |
Full Name | Beverly Ann Tyler |
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Gender | Female |
Speciality | Pediatrics |
Location | 104 Plumtree Road, Bel Air, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1609849769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | D0034255 (Maryland) | Primary |
Entity Name | Lifebridge Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318 |
Mailing Address | Practice Location Address |
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Beverly Ann Tyler, MD 9649 Belair Road, Second Floor, Baltimor, MD 21236-1100 Ph: (410) 248-2650 | Beverly Ann Tyler, MD 104 Plumtree Road, Suite 115, Bel Air, MD 21015-5901 Ph: (410) 515-4300 |
Justin Paul Newstadt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 604 Hoagie Dr, Bel Air, MD 21014 Phone: 410-893-4844 Fax: 410-893-3927 | |
Grace Esare-nkrumah, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Upper Chesapeake Dr, Bel Air, MD 21014 Phone: 443-643-4120 | |
Dr. Sharon Ellen Neibel-pondek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4c North Ave, Suite 403, Bel Air, MD 21014 Phone: 410-838-0343 | |
Andrew S Bernstein, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 119 S Hays St, Bel Air, MD 21014 Phone: 410-638-8410 Fax: 410-420-3446 | |
Dr. Amanda Renee Hinkle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 604 Hoagie Dr, Bel Air, MD 21014 Phone: 410-893-4844 | |
Dr. Vicki Robin Mcgowan Ii, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2014 S Tollgate Rd, Suite 200, Bel Air, MD 21015 Phone: 410-569-9533 | |
Dr. Nikita Gupta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 604 Hoagie Dr, Bel Air, MD 21014 Phone: 315-842-7937 |