Tyler John Walter, CRNP in Wynnewood, PA - Medicare Nurse Practitioner

Tyler John Walter, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Wynnewood, Pennsylvania. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Main Line Healthcare and his current practice location is 100 E Lancaster Ave, Wynnewood, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 476-2000.

Tyler John Walter is licensed to practice in Pennsylvania (license number SP024405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609545078.

Contact Information

	Tyler John Walter, CRNP
	100 E Lancaster Ave, Wynnewood, PA 19096-3450
	(484) 476-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Tyler John Walter
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	100 E Lancaster Ave, Wynnewood, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tyler John Walter graduated from nursing school in 2021

NPI Data:

NPI Number: 1609545078
Provider Enumeration Date: 09/09/2021
Last Update Date: 11/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3274925839
Enrollment ID: I20220112000956

Medical Identifiers

Medical identifiers for Tyler John Walter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609545078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	RN661619 (Pennsylvania)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	SP024405 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Main Line Hospital Lankenau	Wynnewood, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Main Line Healthcare	1951215201	907

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 John Walter allows following entities to bill medicare on his behalf.

Entity Name	Main Line Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373

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 John Walter 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 John Walter, CRNP 737 Hamel Ave, Glenside, PA 19038-2621 Ph: (630) 639-1590	Tyler John Walter, CRNP 100 E Lancaster Ave, Wynnewood, PA 19096-3450 Ph: (484) 476-2000

Reviews and Comments

Nurse Practitioner Nurses in Wynnewood, PA

Altaira Anne Laverda, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 306 E Lancaster Ave Ste 200, Wynnewood, PA 19096 Phone: 484-565-1293 Fax: 484-476-7855
Melinda R Milliken, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lancaster Avenue, Suite 230, Wynnewood, PA 19096 Phone: 610-642-3796
Jacqueline S Shapiro, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lancaster Ave, Suite 301, Wynnewood, PA 19096 Phone: 484-476-4650 Fax: 610-645-3577
Ms. Ellen Jesse Bernstein, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Suite 370, Wynnewood, PA 19096 Phone: 610-642-3005 Fax: 610-642-3057
Melissa Diane Buchter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-1000
Ms. Sherrie Stiffler Freilich, RN CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Lankenau Heart Pavilion, Mezzanine, Wynnewood, PA 19096 Phone: 484-476-1000 Fax: 484-476-9000
Jacqueline Mcgee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100e Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-1000 Fax: 484-476-9000

Tyler John Walter, CRNP - Medicare Nurse Practitioner in Wynnewood, PA