| Matthew Tyler, FNP-BC | |
| 218 Main Street, Fulton, AL 36446-0065 | |
| (334) 636-4823 | |
| Not Available | 
| Full Name | Matthew Tyler | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner | 
| Location | 218 Main Street, Fulton, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881143402 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-130779 (Alabama) | Primary | 
| Entity Name | Physicians Care Of Clarke | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801502265 PECOS PAC ID: 2961809736 Enrollment ID: O20210921001942 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew Tyler, FNP-BC 24b Camden Byp, Camden, AL 36726-1770 Ph: (334) 882-1919 | Matthew Tyler, FNP-BC 218 Main Street, Fulton, AL 36446-0065 Ph: (334) 636-4823 | 
| Kevin Franklin Garris, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 Main Street, Fulton, AL 36446 Phone: 334-636-4823 Fax: 334-636-1702 | |
| Anna Marie Brooks, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 Main Street, Fulton, AL 36446 Phone: 334-636-4823 | |
| Gloria Jean Mcclain, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 Main Street, Fulton, AL 36446 Phone: 334-636-4823 Fax: 334-636-1702 | |
| Kelly Lisenbe Paparella, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 218 Main Street, Fulton, AL 36446 Phone: 334-636-4823 Fax: 334-636-1702 |