| Dr Tyler Mattingly, DO | |
|
463386 State Road 200 Unit A, Yulee, FL 32097-3240 | |
| (904) 406-3888 | |
| Not Available |
| Full Name | Dr Tyler Mattingly |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 8 Years |
| Location | 463386 State Road 200 Unit A, Yulee, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710482336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | OS20033 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Group Services Pa | 1254238579 | 76 |
| Physicians Group Services Pa | 1254238579 | 76 |
| Entity Name | Physicians Group Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861440810 PECOS PAC ID: 1254238579 Enrollment ID: O20031216000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler Mattingly, DO 705 Wells Rd Ste 300, Orange Park, FL 32073-2982 Ph: (904) 282-6331 | Dr Tyler Mattingly, DO 463386 State Road 200 Unit A, Yulee, FL 32097-3240 Ph: (904) 406-3888 |
Joel R Lopes Jr., MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 171 Coveted Pl, Yulee, FL 32097 Phone: 617-721-7441 | |
Dr. Eli Steven Loch, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 463386 S.r. 200, Unit A, Yulee, FL 32097 Phone: 904-468-3080 Fax: 904-468-3193 | |
Renee Elizabeth Doll, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 463386 State Road 200 Unit A, Yulee, FL 32097 Phone: 904-468-3080 Fax: 904-468-3193 |