| Dr Tyler J Tantillo, DO | |
|
951 N Washington Ave Bldg 4, Titusville, FL 32796-2194 | |
| (321) 268-6111 | |
| Not Available |
| Full Name | Dr Tyler J Tantillo |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 8 Years |
| Location | 951 N Washington Ave Bldg 4, Titusville, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215431762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 339588 (Louisiana) | Secondary |
| 207X00000X | Orthopaedic Surgery | 339588 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Opelousas General Health System | Opelousas, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Opelousas General Health System Physician Practices | 9830340694 | 62 |
| Entity Name | Opelousas General Health System Physician Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295098747 PECOS PAC ID: 9830340694 Enrollment ID: O20121105000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler J Tantillo, DO 951 N Washington Ave Bldg 4, Titusville, FL 32796-2194 Ph: (321) 268-6111 | Dr Tyler J Tantillo, DO 951 N Washington Ave Bldg 4, Titusville, FL 32796-2194 Ph: (321) 268-6111 |
James D Glenn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1781 Garden St, Titusville, FL 32796 Phone: 321-269-4300 Fax: 321-269-7755 |
Ramy Salah Hanna, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 N Washington Ave Ste 201, Titusville, FL 32796 Phone: 321-332-6600 Fax: 321-491-3008 |