| Tiffany Gail Byerly, MD | |
|
2215 Portland Ave, Louisville, KY 40212-1033 | |
| (502) 774-1033 | |
| Not Available |
| Full Name | Tiffany Gail Byerly |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2215 Portland Ave, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922535012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2020-03126 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 55451 (Kentucky) | Primary |
| Entity Name | Scotland Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477791507 PECOS PAC ID: 0648208504 Enrollment ID: O20031105000382 |
| Entity Name | Carolinas Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Entity Name | Charlotte Community Health Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528363868 PECOS PAC ID: 0840502274 Enrollment ID: O20150626001703 |
| Entity Name | Mh Mission Hospital Mcdowell, Lllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225513948 PECOS PAC ID: 0345581856 Enrollment ID: O20191119001720 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Gail Byerly, MD Po Box 950244, Louisville, KY 40295-0244 Ph: (502) 953-4700 | Tiffany Gail Byerly, MD 2215 Portland Ave, Louisville, KY 40212-1033 Ph: (502) 774-1033 |
Dr. Kendra Stratton Cloyd, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3026 Poplar Level Rd, Louisville, KY 40217 Phone: 502-636-4929 | |
Meredith Kay Irwin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mallard Creek Rd Ste 395, Louisville, KY 40207 Phone: 502-895-9421 Fax: 502-899-5762 | |
Julia E Richerson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-776-8912 | |
Pradip D Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9702 Stonestreet Rd, Ste 100, Louisville, KY 40272 Phone: 502-588-0610 Fax: 502-588-0611 | |
Patricia Gail Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 411 E Chestnut St, Louisville, KY 40202 Phone: 502-588-0850 Fax: 502-588-0861 | |
Teresa Crase, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9880 Angies Way, Ste. 400, Louisville, KY 40241 Phone: 502-394-6500 | |
Dr. Kenneth N Schikler, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 411 E Chestnut St # Street3, Louisville, KY 40202 Phone: 502-588-4910 Fax: 502-588-9554 |