Dr Tyler Mattingly, DO in Yulee, FL - Medicare Anesthesiology

Dr Tyler Mattingly, DO is a medicare enrolled "Anesthesiology" physician in Yulee, Florida. His current practice location is 463386 State Road 200 Unit A, Yulee, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 406-3888.

Dr Tyler Mattingly is licensed to practice in Florida (license number OS20033) 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 1710482336.

Contact Information

	Dr Tyler Mattingly, DO
	463386 State Road 200 Unit A, Yulee, FL 32097-3240
	(904) 406-3888
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tyler Mattingly
Gender	Male
Speciality	Anesthesiology
Location	463386 State Road 200 Unit A, Yulee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710482336
Provider Enumeration Date: 03/26/2018
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4981951753
Enrollment ID: I20230605001371

Medical Identifiers

Medical identifiers for Dr Tyler Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710482336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	OS20033 (Florida)	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 Mattingly allows following entities to bill medicare on his behalf.

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

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 Mattingly 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 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

Reviews and Comments

Anesthesiology Doctors in Yulee, FL

Joel R Lopes Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments 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

Dr Tyler Mattingly, DO - Medicare Anesthesiology in Yulee, FL