Mr Tyler T Dewhurst, APRN in South Windsor, CT

Mr Tyler T Dewhurst, APRN is a medicare enrolled "Nurse Practitioner - Family" in South Windsor, Connecticut. His current practice location is 216 Hemlock Ave, South Windsor, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 471-8030.

Mr Tyler T Dewhurst is licensed to practice in Connecticut (license number 3829) 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 1336153386.

Contact Information

	Mr Tyler T Dewhurst, APRN
	216 Hemlock Ave, South Windsor, CT 06074-9606
	(860) 471-8030
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Tyler T Dewhurst
Gender	Male
Speciality	Nurse Practitioner - Family
Location	216 Hemlock Ave, South Windsor, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336153386
Provider Enumeration Date: 07/27/2006
Last Update Date: 06/22/2021

Medicare PECOS Information:

PECOS PAC ID: 5698735959
Enrollment ID: I20111227000130

Medical Identifiers

Medical identifiers for Mr Tyler T Dewhurst such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336153386	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3829 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	ARNP3124292 (Florida)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	003829 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	3829 (Connecticut)	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 T Dewhurst allows following entities to bill medicare on his behalf.

Entity Name	Collins Medical Associates 2 Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912928169 PECOS PAC ID: 3779486345 Enrollment ID: O20040216000064

Entity Name	Impact Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20180316001315

Entity Name	Mouli Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598408809 PECOS PAC ID: 3678955473 Enrollment ID: O20220726002317

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 T Dewhurst 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 T Dewhurst, APRN 65 Maple Drive, Twin Mountain, NH 03595 Ph: (603) 915-3396	Mr Tyler T Dewhurst, APRN 216 Hemlock Ave, South Windsor, CT 06074-9606 Ph: (860) 471-8030

Reviews and Comments

Nurse Practitioner Nurses in South Windsor, CT

Nikisha Bista Hamal, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2701 Tamarack Ave, South Windsor, CT 06074 Phone: 860-647-8282 Fax: 860-647-8399
Jennifer Silva, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Buckland Rd Fl 2, South Windsor, CT 06074 Phone: 860-322-2222 Fax: 860-322-6838
Koral Ben-simon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70 Buckland Rd, South Windsor, CT 06074 Phone: 860-648-0707
Marcy Calsetta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Sullivan Ave, Ste 1, South Windsor, CT 06074 Phone: 860-644-1521
Mr. William A Abrokwa, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Sullivan Ave Ste 2, South Windsor, CT 06074 Phone: 860-308-6325
Ms. Virginia Graves, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Morgan Farms Dr, South Windsor, CT 06074 Phone: 860-644-5458 Fax: 860-644-5687
Jeannie Dilworth, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Sullivan Ave, Unit 2, South Windsor, CT 06074 Phone: 860-432-7771 Fax: 860-432-7774

Mr Tyler T Dewhurst, APRN - Medicare Nurse Practitioner in South Windsor, CT