| Mr Tyler Dylan Mcanally, PHYSICIAN ASSISTANT | |
|
2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | |
| (501) 257-1000 | |
| (501) 257-2693 |
| Full Name | Mr Tyler Dylan Mcanally |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 2200 Fort Roots Dr, North Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083130850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PAN1744 (Maine) | Primary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tyler Dylan Mcanally, PHYSICIAN ASSISTANT 259 Mcanally Dr, Sage, AR 72573-8858 Ph: (870) 291-2153 | Mr Tyler Dylan Mcanally, PHYSICIAN ASSISTANT 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 Ph: (501) 257-1000 |
Mr. Jeff Ryan Thomas, P.A. Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4200 Stockton Dr, North Little Rock, AR 72117 Phone: 501-945-2121 Fax: 501-955-9073 |
Ms. Susan Tate, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3401 Springhill Dr, Suite 460, North Little Rock, AR 72117 Phone: 501-945-1888 Fax: 501-945-4102 |
Aaron C Kyer, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr Rm 108, North Little Rock, AR 72114 Phone: 501-257-1486 Fax: 501-257-1421 |
Mrs. Eranesha L Cochran, PA-C, MS, RD Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3932 |
Dianna Odom, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2933 Lakewood Village Dr, North Little Rock, AR 72116 Phone: 501-435-1417 |
Grace Jones Jenkins, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5220 Northshore Dr, North Little Rock, AR 72118 Phone: 501-663-6455 Fax: 501-663-4877 |
Summer Lynn Mojica, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3201 Springhill Dr Ste 490a, North Little Rock, AR 72117 Phone: 501-202-6860 Fax: 501-202-6868 |