Tyler Lee Graham, PT in Conway, AR - Medicare Physical Therapist Provider

Tyler Lee Graham, PT is a medicare enrolled "Physical Therapist" provider in Conway, Arkansas. His current practice location is 2740 College Ave, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 329-5459.

Tyler Lee Graham is licensed to practice in Arkansas (license number 4555) 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 1871074666.

Contact Information

	Tyler Lee Graham, PT
	2740 College Ave, Conway, AR 72034-6141
	(501) 329-5459
	(501) 327-1738

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Lee Graham
Gender	Male
Speciality	Physical Therapist
Location	2740 College Ave, Conway, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871074666
Provider Enumeration Date: 08/28/2018
Last Update Date: 08/28/2018

Medicare PECOS Information:

PECOS PAC ID: 3971970153
Enrollment ID: I20221031002798

Medical Identifiers

Medical identifiers for Tyler Lee Graham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871074666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4555 (Arkansas)	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 Lee Graham allows following entities to bill medicare on his behalf.

Provider Name	Blue Rose Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1902475684 PECOS PAC ID: 1759779119 Enrollment ID: O20211104000501

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 Lee Graham 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 Lee Graham, PT 2740 College Ave, Conway, AR 72034-6141 Ph: (501) 329-5459	Tyler Lee Graham, PT 2740 College Ave, Conway, AR 72034-6141 Ph: (501) 329-5459

Reviews and Comments

Physical Therapist in Conway, AR

Miller Edward Williams, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 2425 Dave Ward Dr Ste 103, Conway, AR 72034 Phone: 501-327-1730
Mr. Chris Alan Huselton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Museum Rd Ste 104, Conway, AR 72032 Phone: 501-329-3804 Fax: 501-329-0718
Mr. Tyson W Kymes, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 575 Club Ln, Conway, AR 72034 Phone: 501-329-5161 Fax: 501-329-5158
Tabatha Gunnels, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Avenue, Conway, AR 72034 Phone: 501-329-5459 Fax: 501-325-1378
Laura Ward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Ave, Conway, AR 72034 Phone: 501-329-5459 Fax: 501-327-1738
Rachael Lee Cummins Owens, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1065 Clayton St Ste 9, Conway, AR 72032 Phone: 501-328-5878
Mrs. Kerri J Brinkley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1065 Clayton St Ste 9, Conway, AR 72032 Phone: 501-328-5878

Tyler Lee Graham, PT - Medicare Physical Therapist in Conway, AR