Dr Tyler Martin Sadka, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Gainesville, Georgia. His current practice location is
743 Spring St Ne Ste 710, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 219-8730.
Dr Tyler Martin Sadka is licensed to practice in * (Not Available) (license number ) 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 1356979876.
Physician's Profile
Full Name | Dr Tyler Martin Sadka |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 743 Spring St Ne Ste 710, Gainesville, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356979876
- Provider Enumeration Date: 03/30/2020
- Last Update Date: 03/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294157723
- Enrollment ID: I20250212002824
Medical Identifiers
Medical identifiers for Dr Tyler Martin Sadka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356979876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 102046 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Martin Sadka allows following entities to bill medicare on his behalf.
Entity Name | Anemonefish Inpatient Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033514716 PECOS PAC ID: 7012236664 Enrollment ID: O20150501001344 |
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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 Martin Sadka 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 Martin Sadka, DO 743 Spring St Ne Ste 710, Gainesville, GA 30501-3715 Ph: (770) 219-8730 | Dr Tyler Martin Sadka, DO 743 Spring St Ne Ste 710, Gainesville, GA 30501-3715 Ph: (770) 219-8730 |
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