Tyler Chrystine Fugere, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Little Rock, Arkansas. Her current practice location is
4301 W Markham St # 634, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 686-5162.
Tyler Chrystine Fugere 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 1720549934.
Physician's Profile
Full Name | Tyler Chrystine Fugere |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4301 W Markham St # 634, Little Rock, Arkansas |
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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: 1720549934
- Provider Enumeration Date: 03/29/2019
- Last Update Date: 09/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769716729
- Enrollment ID: I20190625001395
Medical Identifiers
Medical identifiers for Tyler Chrystine Fugere such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720549934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | E-15619 (Arkansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Tyler Chrystine Fugere 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 |
Tyler Chrystine Fugere, MD 4301 W Markham St # 634, Little Rock, AR 72205-7101 Ph: (501) 405-8027 | Tyler Chrystine Fugere, MD 4301 W Markham St # 634, Little Rock, AR 72205-7101 Ph: (501) 686-5162 |
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