John Tyrrell, DO is a medicare enrolled "Emergency Medicine" physician in Mountain Lakes, New Jersey. His current practice location is
333 Us Highway 46 Ste 106, Mountain Lakes, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 939-6220.
John Tyrrell is licensed to practice in New Jersey (license number 25MB04141800) 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 1164441978.
Physician's Profile
| Full Name | John Tyrrell |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 333 Us Highway 46 Ste 106, Mountain Lakes, New Jersey |
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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: 1164441978
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 05/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557333499
- Enrollment ID: I20040811000006
Medical Identifiers
Medical identifiers for John Tyrrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164441978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 25MB04141800 (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. John Tyrrell allows following entities to bill medicare on his behalf.
| Entity Name | Atlantic Urgent Care, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023358959 PECOS PAC ID: 2264679661 Enrollment ID: O20130502000023 |
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| Entity Name | Atlantic Advanced Urgent Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104309277 PECOS PAC ID: 4385986330 Enrollment ID: O20190424000040 |
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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. John Tyrrell 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 |
John Tyrrell, DO 465 South St Ste 103, Morristown, NJ 07960-6442 Ph: (973) 695-4726 | John Tyrrell, DO 333 Us Highway 46 Ste 106, Mountain Lakes, NJ 07046-1741 Ph: (973) 939-6220 |
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