Kacy Jo Griffith Tyner, CRNP in Birmingham, AL

Kacy Jo Griffith Tyner, CRNP is a medicare enrolled "Nurse Practitioner" in Birmingham, Alabama. Her current practice location is 873 Dennison Ave Sw Ste 102, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 774-3309.

Kacy Jo Griffith Tyner is licensed to practice in Alabama (license number 1-176450) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215688627.

Contact Information

	Kacy Jo Griffith Tyner, CRNP
	873 Dennison Ave Sw Ste 102, Birmingham, AL 35211-3867
	(205) 774-3309
	(205) 316-7675

Map and Direction

Provider's Profile

Full Name	Kacy Jo Griffith Tyner
Gender	Female
Speciality	Nurse Practitioner
Location	873 Dennison Ave Sw Ste 102, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215688627
Provider Enumeration Date: 01/17/2022
Last Update Date: 11/30/2023

Medicare PECOS Information:

PECOS PAC ID: 9436508280
Enrollment ID: I20231206000517

Medical Identifiers

Medical identifiers for Kacy Jo Griffith Tyner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215688627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1-176450 (Alabama)	Secondary
363L00000X	Nurse Practitioner	1-176450 (Alabama)	Primary

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. Kacy Jo Griffith Tyner allows following entities to bill medicare on her behalf.

Entity Name	Cahaba Medical Care Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316201809 PECOS PAC ID: 1355597923 Enrollment ID: O20121120000238

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. Kacy Jo Griffith Tyner 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
Kacy Jo Griffith Tyner, CRNP 405 Belcher St, Centreville, AL 35042-2946 Ph: (205) 926-2992	Kacy Jo Griffith Tyner, CRNP 873 Dennison Ave Sw Ste 102, Birmingham, AL 35211-3867 Ph: (205) 774-3309

Reviews and Comments

Nurse Practitioner Nurses in Birmingham, AL

Mrs. April Hooper Weatherly, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-939-9175
Miss Leigh Anne Wenzel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Saint Vincents Dr, Suite500, Birmingham, AL 35205 Phone: 205-933-8334 Fax: 205-271-5681
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Ms. Carly Rae Hawkins, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9285 Fax: 205-975-1941
Ashlee Brooke Quick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3729 Mary Taylor Rd, Birmingham, AL 35235 Phone: 205-856-4440 Fax: 205-856-4445
Anyet Belyeu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 11th Ave S, Birmingham, AL 35205 Phone: 205-930-7155 Fax: 205-930-7061
Amy Urban, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Lowder Bldg., Suite 618, Birmingham, AL 35233 Phone: 205-638-9918

Kacy Jo Griffith Tyner, CRNP - Medicare Nurse Practitioner in Birmingham, AL