Dr Tyra White, MD in Somerset, NJ - Medicare Family Medicine

Dr Tyra White, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Somerset, New Jersey. Her current practice location is 454 Elizabeth Ave Ste 210, Somerset, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 469-4871.

Dr Tyra White is licensed to practice in New Jersey (license number 25MA11977700) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396327136.

Contact Information

	Dr Tyra White, MD
	454 Elizabeth Ave Ste 210, Somerset, NJ 08873-5111
	(732) 469-4871
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tyra White
Gender	Female
Speciality	Family Medicine - Adult Medicine
Location	454 Elizabeth Ave Ste 210, Somerset, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396327136
Provider Enumeration Date: 04/21/2021
Last Update Date: 08/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8921546516
Enrollment ID: I20240814001007

Medical Identifiers

Medical identifiers for Dr Tyra White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396327136	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	25MA11977700 (New Jersey)	Secondary
207QA0505X	Family Medicine - Adult Medicine	25MA11977700 (New Jersey)	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 Tyra White allows following entities to bill medicare on her behalf.

Entity Name	Practice Associates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690

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 Tyra White 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 Tyra White, MD 1000 Galloping Hill Rd Ste 108, Union, NJ 07083-7989 Ph: (908) 522-3730	Dr Tyra White, MD 454 Elizabeth Ave Ste 210, Somerset, NJ 08873-5111 Ph: (732) 469-4871

Reviews and Comments

Family Medicine Doctors in Somerset, NJ

Alan Joseph Nicotra, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2 Worlds Fair Dr, Somerset, NJ 08873 Phone: 732-537-0909 Fax: 732-564-9032
Barbara Anne Etheridge, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 Clyde Rd Ste 102, Somerset, NJ 08873 Phone: 732-246-0057 Fax: 732-745-7070
Dr. Jan R Soriano, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Barclay Ct, Somerset, NJ 08873 Phone: 201-838-9740
Dr. Paul William Gwozdz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Easton Ave, Suite 1a, Somerset, NJ 08873 Phone: 732-545-4100 Fax: 732-545-4102
Dr. Nehi Patel, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Worlds Fair Dr, Somerset, NJ 08873 Phone: 732-537-0909
Sang T Park, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12 Fehervari Ct, Somerset, NJ 08873 Phone: 609-886-1126

Dr Tyra White, MD - Medicare Family Medicine in Somerset, NJ