Edison Tyli, NP in Staten Island, NY - Medicare Nurse Practitioner

Edison Tyli, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Staten Island, New York. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 375 Seguine Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 226-2000.

Edison Tyli is licensed to practice in New York (license number 431757) 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 1558989137.

Contact Information

	Edison Tyli, NP
	375 Seguine Ave, Staten Island, NY 10309-3932
	(718) 226-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Edison Tyli
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	375 Seguine Ave, Staten Island, New York
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:

Edison Tyli graduated from nursing school in 2020

NPI Data:

NPI Number: 1558989137
Provider Enumeration Date: 07/09/2020
Last Update Date: 07/09/2020

Medicare PECOS Information:

PECOS PAC ID: 5092105064
Enrollment ID: I20211206001981

Medical Identifiers

Medical identifiers for Edison Tyli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558989137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	431757 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Staten Island University Hospital	Staten island, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Medical Pc	3375701568	5120

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. Edison Tyli allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Edison Tyli 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
Edison Tyli, NP 151 Morani St, Staten Island, NY 10314-1672 Ph: (646) 369-3611	Edison Tyli, NP 375 Seguine Ave, Staten Island, NY 10309-3932 Ph: (718) 226-2000

Reviews and Comments

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Alexis Rigo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000
Alexandra Frances Manetta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Downes Ave, Staten Island, NY 10312 Phone: 718-517-0654
Mrs. Amelia Tirado, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 139 Roe St, Staten Island, NY 10310 Phone: 718-720-6650

Edison Tyli, NP - Medicare Nurse Practitioner in Staten Island, NY