Mrs Angela Diahann Tyler, in Lubbock, TX - Medicare Nurse Practitioner

Mrs Angela Diahann Tyler, is a medicare enrolled "Nurse Practitioner - Family" in Lubbock, Texas. Her current practice location is 4642 N Loop 289 Ste 209, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 797-4596.

Mrs Angela Diahann Tyler is licensed to practice in Texas (license number AP143184) 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 1720625213.

Contact Information

	Mrs Angela Diahann Tyler,
	4642 N Loop 289 Ste 209, Lubbock, TX 79416-2425
	(806) 797-4596
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Angela Diahann Tyler
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4642 N Loop 289 Ste 209, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720625213
Provider Enumeration Date: 12/04/2019
Last Update Date: 12/01/2020

Medicare PECOS Information:

PECOS PAC ID: 3375935380
Enrollment ID: I20220126000040

Medical Identifiers

Medical identifiers for Mrs Angela Diahann Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720625213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP143184 (Texas)	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. Mrs Angela Diahann Tyler allows following entities to bill medicare on her behalf.

Entity Name	Colvin Pain Management Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619386729 PECOS PAC ID: 1254558133 Enrollment ID: O20140908000991

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. Mrs Angela Diahann Tyler 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
Mrs Angela Diahann Tyler, 4642 N Loop 289 Ste 209, Lubbock, TX 79416-2425 Ph: (806) 797-4596	Mrs Angela Diahann Tyler, 4642 N Loop 289 Ste 209, Lubbock, TX 79416-2425 Ph: (806) 797-4596

Reviews and Comments

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Malory Shanks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400
Mrs. Jessica D Ann Sisneros, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-4815
Renee Naomi Livesay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8504 Kenosha Dr, Lubbock, TX 79423 Phone: 806-773-5880

Mrs Angela Diahann Tyler, - Medicare Nurse Practitioner in Lubbock, TX