Dr Tyler Allen Defriece, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Carmel, New York. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice The William W Backus Hospital and his current practice location is
670 Stoneleigh Ave, Carmel, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 790-1321.
Dr Tyler Allen Defriece is licensed to practice in * (Not Available) (license number ) 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 1619617479.
Physician's Profile
| Full Name | Dr Tyler Allen Defriece |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 4 Years |
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| Location | 670 Stoneleigh Ave, Carmel, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tyler Allen Defriece graduated from medical school in 2022
NPI Data:
- NPI Number: 1619617479
- Provider Enumeration Date: 03/30/2022
- Last Update Date: 09/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062912710
- Enrollment ID: I20251002004727
Medical Identifiers
Medical identifiers for Dr Tyler Allen Defriece such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619617479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 79679 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The William W Backus Hospital | 0749170645 | 244 |
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 Allen Defriece 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 Allen Defriece, MD
670 Stoneleigh Ave,
Carmel, NY 10512-3997
Ph: () - | Dr Tyler Allen Defriece, MD
670 Stoneleigh Ave,
Carmel, NY 10512-3997
Ph: (845) 790-1321 |
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