Tyana Raynor, DO - Medicare Student in an Organized Health Care Education/Training Program in Riverhead, NY

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Tyana Raynor, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Riverhead, New York. Her current practice location is 1300 Roanoke Ave, Riverhead, New York. You can reach out to her office (for appointments etc.) via phone at (631) 548-6446.

Tyana Raynor is licensed to practice in * (Not Available) (license number ) 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 1346687811.

Contact Information

Tyana Raynor, DO
1300 Roanoke Ave,
Riverhead, NY 11901-2031
(631) 548-6446
(631) 727-0772

Map and Direction




Physician's Profile

Full NameTyana Raynor
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location1300 Roanoke Ave, Riverhead, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346687811
  • Provider Enumeration Date: 05/23/2013
  • Last Update Date: 09/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870962863
  • Enrollment ID: I20221214001477

Medical Identifiers

Medical identifiers for Tyana Raynor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346687811NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085P0229XRadiology - Pediatric Radiology OS18820 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology 05370 (Kentucky)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Tyana Raynor allows following entities to bill medicare on her behalf.
Entity NameFlorida Radiology Imaging At Lake Mary Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740256494
PECOS PAC ID: 1254311137
Enrollment ID: O20040721001414
Entity NameFlorida Hospital Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073785044
PECOS PAC ID: 0042383200
Enrollment ID: O20080721000717

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. Tyana Raynor 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 AddressPractice Location Address
Tyana Raynor, DO
1000 Montauk Hwy,
West Islip, NY 11795-4927

Ph: () -		Tyana Raynor, DO
1300 Roanoke Ave,
Riverhead, NY 11901-2031

Ph: (631) 548-6446

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.