Kimberly Lynn Tyler, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Sarasota, Florida. Her current practice location is
2415 University Pkwy Ste 218, Sarasota, Florida. You can reach out to her office (for appointments etc.) via phone at
(941) 955-6220.
Kimberly Lynn Tyler is licensed to practice in Florida (license number APRN1100595) 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 1013980432.
Physician's Profile
Full Name | Kimberly Lynn Tyler |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2415 University Pkwy Ste 218, Sarasota, 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: 1013980432
- Provider Enumeration Date: 02/08/2006
- Last Update Date: 08/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385775899
- Enrollment ID: I20151222001439
Medical Identifiers
Medical identifiers for Kimberly Lynn Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013980432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 93678 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11000595 (Florida) | Secondary |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | F331853 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN1100595 (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. Kimberly Lynn Tyler allows following entities to bill medicare on her behalf.
Entity Name | Physicians To Home Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619276714 PECOS PAC ID: 0941478770 Enrollment ID: O20110722000226 |
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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. Kimberly Lynn 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 |
Kimberly Lynn Tyler, FNP 2415 University Pkwy Ste 218, Sarasota, FL 34243-2809 Ph: (941) 955-6220 | Kimberly Lynn Tyler, FNP 2415 University Pkwy Ste 218, Sarasota, FL 34243-2809 Ph: (941) 955-6220 |
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