Matthew Tyler, FNP-BC | |
218 Main Street, Fulton, AL 36446-0065 | |
(334) 636-4823 | |
Not Available |
Full Name | Matthew Tyler |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 218 Main Street, Fulton, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881143402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-130779 (Alabama) | Primary |
Entity Name | Physicians Care Of Clarke |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801502265 PECOS PAC ID: 2961809736 Enrollment ID: O20210921001942 |
Mailing Address | Practice Location Address |
---|---|
Matthew Tyler, FNP-BC 24b Camden Byp, Camden, AL 36726-1770 Ph: (334) 882-1919 | Matthew Tyler, FNP-BC 218 Main Street, Fulton, AL 36446-0065 Ph: (334) 636-4823 |
Anna Marie Brooks, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 Main Street, Fulton, AL 36446 Phone: 334-636-4823 | |
Gloria Jean Mcclain, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 Main Street, Fulton, AL 36446 Phone: 334-636-4823 Fax: 334-636-1702 | |
Kelly Lisenbe Paparella, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 218 Main Street, Fulton, AL 36446 Phone: 334-636-4823 Fax: 334-636-1702 |