Mr Tyler James Mason, is a medicare enrolled "Nurse Practitioner" in Russellville, Ohio. His current practice location is
5942 Huff Hill Rd, Russellville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 213-3248.
Mr Tyler James Mason is licensed to practice in Kentucky (license number 3011352) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659811396.
Provider's Profile
| Full Name | Mr Tyler James Mason |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 5942 Huff Hill Rd, Russellville, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659811396
- Provider Enumeration Date: 02/28/2017
- Last Update Date: 06/15/2017
Medicare PECOS Information:
- PECOS PAC ID: 6406125616
- Enrollment ID: I20210913002991
Medical Identifiers
Medical identifiers for Mr Tyler James Mason such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659811396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 402410 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | 3011352 (Kentucky) | 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. Mr Tyler James Mason allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Medicine Physicians Of Cincinnati Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922483213
PECOS PAC ID: 5294044137
Enrollment ID: O20151016000115 |
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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. Mr Tyler James Mason 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 |
|---|
Mr Tyler James Mason,
5942 Huff Hill Rd,
Russellville, OH 45168-8961
Ph: (937) 213-3248 | Mr Tyler James Mason,
5942 Huff Hill Rd,
Russellville, OH 45168-8961
Ph: (937) 213-3248 |
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