Tyler Jay Staley, MD | |
350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733 | |
(386) 238-3290 | |
(386) 238-3278 |
Full Name | Tyler Jay Staley |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 17 Years |
Location | 350 N Clyde Morris Blvd, Daytona Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013189877 | NPI | - | NPPES |
1013189877 | Other | FL | TRICARE |
007276600 | Medicaid | FL | |
14MV1 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 44335 (Kentucky) | Secondary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 112139 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Health Care Plan Inc | 9436201233 | 82 |
Entity Name | Florida Health Care Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558302042 PECOS PAC ID: 9436201233 Enrollment ID: O20090708000537 |
Mailing Address | Practice Location Address |
---|---|
Tyler Jay Staley, MD Po Box 9671, Daytona Beach, FL 32120-9671 Ph: (386) 676-7130 | Tyler Jay Staley, MD 350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733 Ph: (386) 238-3290 |
Megan Lee, OTR Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-3470 | |
Jorge A Perez Lopez, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 201 N Clyde Morris Blvd, Suite 120, Daytona Beach, FL 32114 Phone: 386-425-4641 Fax: 386-947-4647 | |
Mr. Rabinder Singh Bhatti, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1671 N Clyde Morris Blvd Ste 100, Daytona Beach, FL 32117 Phone: 386-274-2977 Fax: 386-274-2997 | |
Stefan G Humphries, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-6000 | |
Christopher Godfrey, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1430 Mason Ave, Daytona Beach, FL 32117 Phone: 386-274-2090 |