Dr Tyler Mattingly, DO is a medicare enrolled "Anesthesiology" physician in Yulee, Florida. His current practice location is
463386 State Road 200 Unit A, Yulee, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 406-3888.
Dr Tyler Mattingly is licensed to practice in Florida (license number OS20033) 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 1710482336.
Physician's Profile
Full Name | Dr Tyler Mattingly |
---|
Gender | Male |
---|
Speciality | Anesthesiology |
---|
Location | 463386 State Road 200 Unit A, Yulee, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710482336
- Provider Enumeration Date: 03/26/2018
- Last Update Date: 05/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981951753
- Enrollment ID: I20230605001371
Medical Identifiers
Medical identifiers for Dr Tyler Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710482336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | OS20033 (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 Mattingly allows following entities to bill medicare on his behalf.
Entity Name | Physicians Group Services Pa |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1861440810 PECOS PAC ID: 1254238579 Enrollment ID: O20031216000099 |
---|
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 Mattingly 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 Mattingly, DO 705 Wells Rd Ste 300, Orange Park, FL 32073-2982 Ph: (904) 282-6331 | Dr Tyler Mattingly, DO 463386 State Road 200 Unit A, Yulee, FL 32097-3240 Ph: (904) 406-3888 |
Reviews and Comments