Tyler Alexander Southern, PA - Medicare Physician Assistant in Bermuda Run, NC

Tyler Alexander Southern, PA is a medicare enrolled "Physician Assistant" in Bermuda Run, North Carolina. His current practice location is 152 E Kinderton Way Ste 101, Bermuda Run, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 893-3180.

Tyler Alexander Southern is licensed to practice in North Carolina (license number 0010-11440) 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 1326699745.

Contact Information

Tyler Alexander Southern, PA
152 E Kinderton Way Ste 101,
Bermuda Run, NC 27006-7351
(336) 893-3180
(336) 893-3189

Map and Direction




Provider's Profile

Full NameTyler Alexander Southern
GenderMale
SpecialityPhysician Assistant
Location152 E Kinderton Way Ste 101, Bermuda Run, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326699745
  • Provider Enumeration Date: 09/26/2019
  • Last Update Date: 11/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395142335
  • Enrollment ID: I20220915003929

Medical Identifiers

Medical identifiers for Tyler Alexander Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326699745NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-11440 (North Carolina)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. Tyler Alexander Southern 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 AddressPractice Location Address
Tyler Alexander Southern, PA
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (336) 893-3180
Tyler Alexander Southern, PA
152 E Kinderton Way Ste 101,
Bermuda Run, NC 27006-7351

Ph: (336) 893-3180

Reviews and Comments


Physician Assistant Nurses in Bermuda Run, NC

Luke Christopher Naylor, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006
Phone: 336-716-9253    
Joseph Robert Baker,
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Medicare: Accepting Medicare Assignments
Practice Location: 313 Nc Highway 801 N, Bermuda Run, NC 27006
Phone: 336-716-8200    
Cynthia Aileen Solis Vallejo, PA-C
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Medicare: Medicare Enrolled
Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006
Phone: 336-998-1317    
Katelyn Helen Moser, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006
Phone: 336-998-1294    
Tiffany Dawn Hunter, PA-C
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Medicare: Medicare Enrolled
Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006
Phone: 336-998-1300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.