Mr Tyler Lee White, FNP-C | |
629 Lincoln Ave, Bedford, IN 47421-2142 | |
(812) 675-4470 | |
(812) 675-4469 |
Full Name | Mr Tyler Lee White |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 629 Lincoln Ave, Bedford, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003674946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71015039A (Indiana) | Primary |
Entity Name | Wrightchoice Healthcare, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023778511 PECOS PAC ID: 9739573437 Enrollment ID: O20220223000332 |
Mailing Address | Practice Location Address |
---|---|
Mr Tyler Lee White, FNP-C 6402 Asbell Rd, Shoals, IN 47581-7839 Ph: (812) 296-8238 | Mr Tyler Lee White, FNP-C 629 Lincoln Ave, Bedford, IN 47421-2142 Ph: (812) 675-4470 |
Stephanie Ann Mason, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 23rd St, Bedford, IN 47421 Phone: 812-275-3331 | |
Jamie R Bohnke, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
Mrs. Alyssa Brooke Kellams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2418 16th St, Bedford, IN 47421 Phone: 812-508-8683 | |
Barbara Deich, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-5352 Fax: 812-275-1374 | |
Jennifer Hoyt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 23rd St, Bedford, IN 47421 Phone: 812-489-2271 Fax: 812-666-4355 | |
Mrs. Amanda Sue Bowman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 Lincoln Ave, Bedford, IN 47421 Phone: 812-675-4470 Fax: 812-675-4469 |