Dr Tyler Mccall Mauzy, DPT is a medicare enrolled "Physical Therapist" provider in Elizabeth, West Virginia. His current practice location is
69 Maze Plz, Elizabeth, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 598-6844.
Dr Tyler Mccall Mauzy is licensed to practice in Georgia (license number PT015670) 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 1265120026.
Healthcare Provider's Profile
| Full Name | Dr Tyler Mccall Mauzy |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 69 Maze Plz, Elizabeth, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265120026
- Provider Enumeration Date: 04/28/2023
- Last Update Date: 04/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012369952
- Enrollment ID: I20240117000427
Medical Identifiers
Medical identifiers for Dr Tyler Mccall Mauzy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265120026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | CP021542T (West Virginia) | Secondary |
| 225100000X | Physical Therapist | PT015670 (Georgia) | 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. Dr Tyler Mccall Mauzy allows following entities to bill medicare on his behalf.
| Provider Name | Florida Luna Care Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1114542032
PECOS PAC ID: 3779991559
Enrollment ID: O20210415001126 |
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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. Dr Tyler Mccall Mauzy 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 |
|---|
Dr Tyler Mccall Mauzy, DPT
5554 Clipper Bay Dr,
Powder Springs, GA 30127-6908
Ph: (256) 557-0110 | Dr Tyler Mccall Mauzy, DPT
69 Maze Plz,
Elizabeth, WV 26143-5127
Ph: (304) 598-6844 |
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