Dr Tyler Jon Diener, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Plant City, Florida. His current practice location is
301 N Alexander St, Plant City, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 236-5884.
Dr Tyler Jon Diener is licensed to practice in Florida (license number OS19541) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720518061.
Physician's Profile
| Full Name | Dr Tyler Jon Diener |
|---|
| Gender | Male |
|---|
| Speciality | Radiology - Diagnostic Radiology |
|---|
| Location | 301 N Alexander St, Plant City, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1720518061
- Provider Enumeration Date: 06/19/2017
- Last Update Date: 08/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163781311
- Enrollment ID: I20230809001547
Medical Identifiers
Medical identifiers for Dr Tyler Jon Diener such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720518061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5315086094 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | OS19541 (Florida) | 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 Tyler Jon Diener allows following entities to bill medicare on his behalf.
| Entity Name | Mori Bean And Brooks Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20040714001317 |
|---|
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 Tyler Jon Diener 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 |
|---|
Dr Tyler Jon Diener, DO
18101 Oakwood Blvd,
Dearborn, MI 48124-4089
Ph: () - | Dr Tyler Jon Diener, DO
301 N Alexander St,
Plant City, FL 33563-4303
Ph: (904) 236-5884 |
Reviews and Comments