Kimberly Brennan Tyler, ANP in Portland, OR - Medicare Nurse Practitioner

Kimberly Brennan Tyler, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (506) 494-9000.

Kimberly Brennan Tyler is licensed to practice in Oregon (license number 200540047RN) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427066976.

Contact Information

	Kimberly Brennan Tyler, ANP
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(506) 494-9000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Brennan Tyler
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427066976
Provider Enumeration Date: 08/03/2006
Last Update Date: 02/03/2010

Medicare PECOS Information:

PECOS PAC ID: 2567495088
Enrollment ID: I20050915000331

Medical Identifiers

Medical identifiers for Kimberly Brennan Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427066976	NPI	-	NPPES
023050	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	200550020NP (Oregon)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	200540047RN (Oregon)	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. Kimberly Brennan Tyler allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330

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. Kimberly Brennan Tyler 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
Kimberly Brennan Tyler, ANP 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (506) 494-9000	Kimberly Brennan Tyler, ANP 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (506) 494-9000

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Kimberly Brennan Tyler, ANP - Medicare Nurse Practitioner in Portland, OR