Dr Tyler William Pickell, DO is a medicare enrolled "Emergency Medicine" physician in Altamonte Spg, Florida. His current practice location is
601 E Altamonte Dr, Altamonte Spg, Florida. You can reach out to his office (for appointments etc.) via phone at
(800) 424-3672.
Dr Tyler William Pickell is licensed to practice in Florida (license number OS18895) 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 1740848159.
Physician's Profile
Full Name | Dr Tyler William Pickell |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 601 E Altamonte Dr, Altamonte Spg, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740848159
- Provider Enumeration Date: 05/31/2019
- Last Update Date: 01/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476887019
- Enrollment ID: I20221026002676
Medical Identifiers
Medical identifiers for Dr Tyler William Pickell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740848159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 125073744 (Illinois) | Secondary |
207P00000X | Emergency Medicine | OS18895 (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 William Pickell allows following entities to bill medicare on his behalf.
Entity Name | Florida Emergency Physicians Kang And Associates Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811983752 PECOS PAC ID: 0143113878 Enrollment ID: O20040205000687 |
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Entity Name | Emergency Medicine Services Of Fl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
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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 Tyler William Pickell 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 William Pickell, DO Po Box 19679, Springfield, IL 62794-9679 Ph: (217) 545-3518 | Dr Tyler William Pickell, DO 601 E Altamonte Dr, Altamonte Spg, FL 32701-4802 Ph: (800) 424-3672 |
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