Tyrone Leslie Hardy, MD is a medicare enrolled "Neurological Surgery" physician in La Mesa, California. He went to Howard University College Of Medicine and graduated in 1971 and has 53 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Emergency And Acute Care Medical Corporation and his current practice location is
5565 Grossmont Center Dr, Bldg. 1, Suite 119, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at
(619) 464-3153.
Tyrone Leslie Hardy is licensed to practice in California (license number G57014) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174739460.
Physician's Profile
Full Name | Tyrone Leslie Hardy |
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Gender | Male |
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Speciality | Neurosurgery |
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Experience | 53 Years |
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Location | 5565 Grossmont Center Dr, La Mesa, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tyrone Leslie Hardy attended and graduated from Howard University College Of Medicine in 1971
NPI Data:
- NPI Number: 1174739460
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5597715094
- Enrollment ID: I20050122000184
Medical Identifiers
Medical identifiers for Tyrone Leslie Hardy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174739460 | NPI | - | NPPES |
ZZZ56955Z | Other | CA | BLUE SHIELD |
00G570140 | Medicaid | CA | |
1962574715 | Other | CA | NPI CORPORATE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | G57014 (California) | Primary |
Medical Facilities Affiliation
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. Tyrone Leslie Hardy allows following entities to bill medicare on his behalf.
Entity Name | San Diego Neurological Disorders |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962574715 PECOS PAC ID: 3779533278 Enrollment ID: O20050122000181 |
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Entity Name | Emergency And Acute Care Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
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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. Tyrone Leslie Hardy 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 |
Tyrone Leslie Hardy, MD 5565 Grossmont Center Dr, Bldg. 1, Suite 119, La Mesa, CA 91942-3020 Ph: (619) 464-3153 | Tyrone Leslie Hardy, MD 5565 Grossmont Center Dr, Bldg. 1, Suite 119, La Mesa, CA 91942-3020 Ph: (619) 464-3153 |
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