Diane Elizabeth Tyler, | |
516 S Pokegama Ave, Grand Rapids, MN 55744-3820 | |
(218) 327-2001 | |
Not Available |
Full Name | Diane Elizabeth Tyler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 516 S Pokegama Ave, Grand Rapids, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760150213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 8264 (Minnesota) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 8264 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeview Behavioral Health Inc | 9537432307 | 21 |
Entity Name | Lakeview Behavioral Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154404325 PECOS PAC ID: 9537432307 Enrollment ID: O20170830003216 |
Mailing Address | Practice Location Address |
---|---|
Diane Elizabeth Tyler, 516 S Pokegama Ave, Grand Rapids, MN 55744-3820 Ph: () - | Diane Elizabeth Tyler, 516 S Pokegama Ave, Grand Rapids, MN 55744-3820 Ph: (218) 327-2001 |
Mrs. Jessica Jo Day, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401 | |
Lindsey Peratalo, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-360-3401 | |
Bobbi Jean Olson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401 | |
Stephanie R Harnack, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Road, Grand Rapids, MN 55744 Phone: 218-326-3401 Fax: 218-999-1709 | |
Jared Harnack, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 S Pokegama Ave, Grand Rapids, MN 55744 Phone: 218-327-2001 | |
Ms. Sharon Elizabeth Buesing, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744 Phone: 218-999-7000 | |
Natalie Jane Gustafson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744 Phone: 218-999-7000 |