Mr Tyler James Corkum, NP in Centreville, MD - Medicare Nurse Practitioner

Mr Tyler James Corkum, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Centreville, Maryland. His current practice location is 120 Banjo Ln, Centreville, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 758-2211.

Mr Tyler James Corkum is licensed to practice in Maryland (license number R217257) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285125062.

Contact Information

	Mr Tyler James Corkum, NP
	120 Banjo Ln, Centreville, MD 21617-1002
	(410) 758-2211
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Tyler James Corkum
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	120 Banjo Ln, Centreville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285125062
Provider Enumeration Date: 05/28/2018
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7113375015
Enrollment ID: I20231204001692

Medical Identifiers

Medical identifiers for Mr Tyler James Corkum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285125062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R217257 (Maryland)	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. Mr Tyler James Corkum allows following entities to bill medicare on his behalf.

Entity Name	Corsica River Mental Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396077749 PECOS PAC ID: 0941497382 Enrollment ID: O20101210000133

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. Mr Tyler James Corkum 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
Mr Tyler James Corkum, NP 5304 Purlington Way, Baltimore, MD 21212-3403 Ph: (443) 845-2512	Mr Tyler James Corkum, NP 120 Banjo Ln, Centreville, MD 21617-1002 Ph: (410) 758-2211

Reviews and Comments

Nurse Practitioner Nurses in Centreville, MD

Ms. Donna Margaret Scharch, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2977 Four H Park Rd Ste 102, Centreville, MD 21617 Phone: 410-758-4030 Fax: 410-758-4733
Mrs. Brittany Jay Cutler, CRNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 160 Coursevall Dr, Centreville, MD 21617 Phone: 443-262-4100 Fax: 410-758-2185
Ms. Julia R Strong, CRNP-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Banjo Ln, Centreville, MD 21617 Phone: 410-758-2211 Fax: 410-758-0698
Lesley Todd, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Banjo Ln, Centreville, MD 21617 Phone: 410-758-1787 Fax: 410-758-1789
Jamie Marie Del Puppo, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2540 Centreville Rd, Centreville, MD 21617 Phone: 410-758-4432
Sara Hayden, DNP, CRNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Banjo Ln, Centreville, MD 21617 Phone: 410-758-3050

Mr Tyler James Corkum, NP - Medicare Nurse Practitioner in Centreville, MD