Tyler Grisak, FNP-C - Medicare Nurse Practitioner in El Paso, TX

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Tyler Grisak, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in El Paso, Texas. His current practice location is 620 Hempstead Dr, El Paso, Texas. You can reach out to his office (for appointments etc.) via phone at (575) 405-7797.

Tyler Grisak is licensed to practice in Texas (license number AP127339) 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 1417347428.

Contact Information

Tyler Grisak, FNP-C
620 Hempstead Dr,
El Paso, TX 79912-7030
(575) 405-7797
Not Available

Map and Direction




Provider's Profile

Full NameTyler Grisak
GenderMale
SpecialityNurse Practitioner - Family
Location620 Hempstead Dr, El Paso, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417347428
  • Provider Enumeration Date: 01/28/2015
  • Last Update Date: 01/28/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8224340690
  • Enrollment ID: I20150629001222

Medical Identifiers

Medical identifiers for Tyler Grisak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417347428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP127339 (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. Tyler Grisak allows following entities to bill medicare on his behalf.
Entity NameLonestar Hospital Medicine Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518237429
PECOS PAC ID: 6709049703
Enrollment ID: O20120530000620
Entity NameIpc Healthcare Services Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023403011
PECOS PAC ID: 3971824939
Enrollment ID: O20150603001409
Entity NameVillagehealth Dm Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598273211
PECOS PAC ID: 2769812445
Enrollment ID: O20200424001045

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 Grisak 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 Grisak, FNP-C
620 Hempstead Dr,
El Paso, TX 79912-7030

Ph: (575) 405-7797		Tyler Grisak, FNP-C
620 Hempstead Dr,
El Paso, TX 79912-7030

Ph: (575) 405-7797

Reviews and Comments


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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).

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