Kelly M Tyler, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Springfield, Massachusetts. She went to University Of Connecticut School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Baystate Medical Practices Inc and her current practice location is
2 Medical Center Dr, Suite 308, Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 794-7020.
Kelly M Tyler is licensed to practice in Massachusetts (license number 232267) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235335795.
Physician's Profile
Full Name | Kelly M Tyler |
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Gender | Female |
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Speciality | Colorectal Surgery (proctology) |
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Experience | 23 Years |
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Location | 2 Medical Center Dr, Springfield, Massachusetts |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelly M Tyler attended and graduated from University Of Connecticut School Of Medicine in 2001
NPI Data:
- NPI Number: 1235335795
- Provider Enumeration Date: 06/22/2007
- Last Update Date: 11/14/2016
Medicare PECOS Information:
- PECOS PAC ID: 3173615481
- Enrollment ID: I20070816000287
Medical Identifiers
Medical identifiers for Kelly M Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235335795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 232267 (Massachusetts) | Secondary |
208C00000X | Colon & Rectal Surgery | 232267 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Baystate Medical Practices Inc | 5991602971 | 1008 |
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. Kelly M Tyler allows following entities to bill medicare on her behalf.
Entity Name | Baystate Medical Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
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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. Kelly M 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 |
Kelly M Tyler, MD 280 Chestnut St, 2nd Fl, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Kelly M Tyler, MD 2 Medical Center Dr, Suite 308, Springfield, MA 01107-1270 Ph: (413) 794-7020 |
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