Sandra Sullivan Tyler, PAC in Suwanee, GA - Medicare Physician Assistant

Sandra Sullivan Tyler, PAC is a medicare enrolled "Physician Assistant - Medical" in Suwanee, Georgia. Her current practice location is 3350 Paddocks Pkwy, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 735-5300.

Sandra Sullivan Tyler is licensed to practice in Georgia (license number 3288) 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 1588963490.

Contact Information

	Sandra Sullivan Tyler, PAC
	3350 Paddocks Pkwy, Suwanee, GA 30024-9119
	(678) 735-5300
	(678) 735-5305

Map and Direction

Provider's Profile

Full Name	Sandra Sullivan Tyler
Gender	Female
Speciality	Physician Assistant - Medical
Location	3350 Paddocks Pkwy, Suwanee, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588963490
Provider Enumeration Date: 03/17/2011
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 5294979050
Enrollment ID: I20130917000359

Medical Identifiers

Medical identifiers for Sandra Sullivan Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588963490	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	3288 (Georgia)	Primary

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. Sandra Sullivan 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
Sandra Sullivan Tyler, PAC 3350 Paddocks Pkwy, Suwanee, GA 30024-9119 Ph: (678) 735-5300	Sandra Sullivan Tyler, PAC 3350 Paddocks Pkwy, Suwanee, GA 30024-9119 Ph: (678) 735-5300

Reviews and Comments

Physician Assistant Nurses in Suwanee, GA

Karine Gelin, R PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024 Phone: 678-376-1300 Fax: 678-514-2936
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Eklas Mohammed, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 454 Satellite Blvd Nw Ste 100, Suwanee, GA 30024 Phone: 678-250-0880
Julia S Lee, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4285 Johns Creek Pkwy, Suite A, Suwanee, GA 30024 Phone: 770-622-4412
Fairoz Matjan Radtke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5400 Laurel Springs Pkwy, Suite 1401, Suwanee, GA 30024 Phone: 678-513-2228 Fax: 678-513-1147

Sandra Sullivan Tyler, PAC - Medicare Physician Assistant in Suwanee, GA