Tyler Physicians, P.a. | |
10202 W 13th St N Wichita KS 67212-4377 | |
(316) 729-9100 | |
(316) 729-9185 |
Full Name | Tyler Physicians, P.a. |
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Speciality | Clinic/Center |
Location | 10202 W 13th St N, Wichita, Kansas |
Authorized Official Name and Position | Tristyn Amy Pierce (PRESIDENT/OWNER) |
Authorized Official Contact | 3167299100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tyler Physicians, P.a. 10202 W 13th St N Wichita KS 67212-4377 Ph: (316) 729-9100 | Tyler Physicians, P.a. 10202 W 13th St N Wichita KS 67212-4377 Ph: (316) 729-9100 |
NPI Number | 1083879399 |
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Provider Enumeration Date | 07/25/2008 |
Last Update Date | 06/09/2014 |
Medicare PECOS PAC ID | 3870654676 |
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Medicare Enrollment ID | O20081212000013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083879399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Lou C Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578550448 PECOS PAC ID: 0547250193 Enrollment ID: I20040514001039 |
Provider Name | Tristyn A Pierce |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932122439 PECOS PAC ID: 0042214181 Enrollment ID: I20080516000385 |
Provider Name | Tracy L Yager |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972930329 PECOS PAC ID: 7315174802 Enrollment ID: I20131206001421 |
Provider Name | Kristen J Flavell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174070635 PECOS PAC ID: 5991083016 Enrollment ID: I20161025000951 |
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