Tyler David Owitz, NP is a medicare enrolled "Nurse Practitioner - Family" in Phoenicia, New York. His current practice location is
9 Ava Maria Dr, Phoenicia, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 338-7140.
Tyler David Owitz is licensed to practice in New York (license number 349957) 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 1467176248.
Provider's Profile
Full Name | Tyler David Owitz |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 9 Ava Maria Dr, Phoenicia, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467176248
- Provider Enumeration Date: 09/27/2022
- Last Update Date: 09/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860861291
- Enrollment ID: I20230308001373
Medical Identifiers
Medical identifiers for Tyler David Owitz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467176248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 349957 (New York) | 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. Tyler David Owitz allows following entities to bill medicare on his behalf.
Entity Name | Medical Associates Of The Hudson Valley |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700966801 PECOS PAC ID: 2860384674 Enrollment ID: O20040326000705 |
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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 David Owitz 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 |
Tyler David Owitz, NP 360 Washington Ave, Kingston, NY 12401-3702 Ph: (845) 338-7140 | Tyler David Owitz, NP 9 Ava Maria Dr, Phoenicia, NY 12464-5102 Ph: (845) 338-7140 |
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