Mr Tyler Lee Cranford, PA-C is a medicare enrolled "Physician Assistant" physician in Winston Salem, North Carolina. 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 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 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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Location | 190 Kimel Park Dr Ste 155, Winston Salem, North Carolina |
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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: 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 |
207PE0004X | Emergency Medicine - Emergency Medical Services | 001013618 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0010-13618 (North Carolina) | Primary |
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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