Tyler Sprague, DO | |
3339 Tyler St, Carlsbad, CA 92008-3056 | |
(619) 337-4951 | |
Not Available |
Full Name | Tyler Sprague |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 3339 Tyler St, Carlsbad, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881077428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20A15749 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Grace Hospitalist Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639570971 PECOS PAC ID: 9537481908 Enrollment ID: O20141215001217 |
Mailing Address | Practice Location Address |
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Tyler Sprague, DO 3339 Tyler St, Carlsbad, CA 92008-3056 Ph: () - | Tyler Sprague, DO 3339 Tyler St, Carlsbad, CA 92008-3056 Ph: (619) 337-4951 |
Mrs. Jazel Ruivivar Sambo, NP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2510 El Camino Real, Carlsbad, CA 92008 Phone: 760-729-8941 | |
Dr. Ronald Hansel Main, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2604b El Camino Real Ste 275, Carlsbad, CA 92008 Phone: 442-888-4176 | |
Stuart Rollin Weiss, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7189 Aviara Dr, Carlsbad, CA 92011 Phone: 760-918-1683 Fax: 760-804-3907 | |
Stacie Hien Ly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2176 Salk Ave, Carlsbad, CA 92008 Phone: 760-827-7200 | |
Andrew J Hall, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2562 State St, Suite D, Carlsbad, CA 92008 Phone: 760-729-7186 Fax: 760-729-2753 | |
Zachary Thomas Fellows, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6120 Paseo Del Norte Ste C1, Carlsbad, CA 92011 Phone: 760-891-4687 Fax: 760-684-8715 | |
Dr. Reyzan E Shali, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6185 Paseo Del Norte Ste 100, Carlsbad, CA 92011 Phone: 760-940-7000 Fax: 760-940-0042 |