Tyler Zachary Gillingham, NP in Boston, MA - Medicare Nurse Practitioner

Tyler Zachary Gillingham, NP is a medicare enrolled "Nurse Practitioner - Family" in Boston, Massachusetts. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fenway Community Health Center, Inc and his current practice location is 1340 Boylston St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 247-7555.

Tyler Zachary Gillingham is licensed to practice in Massachusetts (license number RN2328949) 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 1952936353.

Contact Information

	Tyler Zachary Gillingham, NP
	1340 Boylston St, Boston, MA 02215-4302
	(617) 247-7555
	(617) 638-0033

Map and Direction

Provider's Profile

Full Name	Tyler Zachary Gillingham
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1340 Boylston St, Boston, Massachusetts
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 Zachary Gillingham graduated from nursing school in 2020

NPI Data:

NPI Number: 1952936353
Provider Enumeration Date: 03/05/2020
Last Update Date: 09/16/2024

Medicare PECOS Information:

PECOS PAC ID: 1759791882
Enrollment ID: I20201102000062

Medical Identifiers

Medical identifiers for Tyler Zachary Gillingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952936353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP2201X	Registered Nurse - Ambulatory Care	RN2328949 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	RN2328949 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fenway Community Health Center, Inc	0941299655	44

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 Zachary Gillingham allows following entities to bill medicare on his behalf.

Entity Name	Fenway Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003804725 PECOS PAC ID: 0941299655 Enrollment ID: O20040508000030

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 Zachary Gillingham 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 Zachary Gillingham, NP 1340 Boylston St, Boston, MA 02215-4302 Ph: (617) 247-7555	Tyler Zachary Gillingham, NP 1340 Boylston St, Boston, MA 02215-4302 Ph: (617) 247-7555

Reviews and Comments

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Ms. Kelly Elisha Trecartin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Bigalow 852 F, Boston, MA 02114 Phone: 617-726-7400 Fax: 617-726-4149
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Jamie Marie Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-724-4410

Tyler Zachary Gillingham, NP - Medicare Nurse Practitioner in Boston, MA