Dr Aquilla Lynette Highsmith-tyler, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Jbsa Lackland, Texas. Her current practice location is
1100 Wilford Hall Loop, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 292-3440.
Dr Aquilla Lynette Highsmith-tyler is licensed to practice in Virginia (license number 0101237853) 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 1508851502.
Physician's Profile
| Full Name | Dr Aquilla Lynette Highsmith-tyler |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1100 Wilford Hall Loop, Jbsa Lackland, Texas |
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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: 1508851502
- Provider Enumeration Date: 09/15/2005
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688027782
- Enrollment ID: I20240125000063
Medical Identifiers
Medical identifiers for Dr Aquilla Lynette Highsmith-tyler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508851502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 0101237853 (Virginia) | 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. Dr Aquilla Lynette Highsmith-tyler allows following entities to bill medicare on her behalf.
| Entity Name | Obhg Texas Holdings Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083917769
PECOS PAC ID: 3577713072
Enrollment ID: O20121018000279 |
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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. Dr Aquilla Lynette Highsmith-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 |
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Dr Aquilla Lynette Highsmith-tyler, MD
5406 Josh Dr,
Crestview, FL 32536-2210
Ph: (850) 883-8891 | Dr Aquilla Lynette Highsmith-tyler, MD
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638
Ph: (210) 292-3440 |
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