Mr Tyler Lee Cranford, PA-C is a medicare enrolled "Physician Assistant" physician in Winston Salem, North Carolina. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Novant Health Medical Group, Llc and his current practice location is
190 Kimel Park Dr Ste 155, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 765-6637.
Mr Tyler Lee Cranford is licensed to practice in North Carolina (license number 0010-13618) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124707997.
Physician's Profile
| Full Name | Mr Tyler Lee Cranford |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 190 Kimel Park Dr Ste 155, Winston Salem, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Tyler Lee Cranford graduated from medical school in 2023
NPI Data:
- NPI Number: 1124707997
- Provider Enumeration Date: 07/17/2023
- Last Update Date: 03/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274989710
- Enrollment ID: I20231019002621
Medical Identifiers
Medical identifiers for Mr Tyler Lee Cranford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124707997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207PE0004X | Emergency Medicine - Emergency Medical Services | 001013618 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-13618 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
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. Mr Tyler Lee Cranford 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 |
|---|
Mr Tyler Lee Cranford, PA-C
Po Box 60447,
Charlotte, NC 28260-0447
Ph: (336) 765-6637 | Mr Tyler Lee Cranford, PA-C
190 Kimel Park Dr Ste 155,
Winston Salem, NC 27103-6946
Ph: (336) 765-6637 |
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