Tyana Raynor, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Riverhead, New York. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Florida Radiology Imaging At Lake Mary Llc, Florida Hospital Medical Group Inc, Florida Radiology Imaging At Lake Mary Llc and her current practice location is
1300 Roanoke Ave, Riverhead, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 548-6446.
Tyana Raynor is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346687811.
Physician's Profile
| Full Name | Tyana Raynor |
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| Gender | Female |
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| Speciality | Diagnostic Radiology |
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| Experience | 12 Years |
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| Location | 1300 Roanoke Ave, Riverhead, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tyana Raynor attended and graduated from Philadelphia College Of Osteopathic Medicine in 2013
NPI Data:
- NPI Number: 1346687811
- Provider Enumeration Date: 05/23/2013
- Last Update Date: 09/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870962863
- Enrollment ID: I20221214001477
Medical Identifiers
Medical identifiers for Tyana Raynor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346687811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085P0229X | Radiology - Pediatric Radiology | OS18820 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 05370 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Florida Radiology Imaging At Lake Mary Llc | 1254311137 | 217 |
| Florida Hospital Medical Group Inc | 0042383200 | 279 |
| Florida Radiology Imaging At Lake Mary Llc | 1254311137 | 217 |
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. Tyana Raynor allows following entities to bill medicare on her behalf.
| Entity Name | Florida Radiology Imaging At Lake Mary Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740256494 PECOS PAC ID: 1254311137 Enrollment ID: O20040721001414 |
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| Entity Name | Florida Hospital Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073785044 PECOS PAC ID: 0042383200 Enrollment ID: O20080721000717 |
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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. Tyana Raynor 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 |
Tyana Raynor, DO 1000 Montauk Hwy, West Islip, NY 11795-4927 Ph: () - | Tyana Raynor, DO 1300 Roanoke Ave, Riverhead, NY 11901-2031 Ph: (631) 548-6446 |
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