| Mr Tyler Matthew Rodriguez Lichtenberg, NP | |
|
8954 Lantana Rd, Lake Worth, FL 33467-6112 | |
| (561) 434-4776 | |
| (561) 434-5055 |
| Full Name | Mr Tyler Matthew Rodriguez Lichtenberg |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 8954 Lantana Rd, Lake Worth, 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 |
|---|---|---|---|
| 1780357228 | NPI | - | NPPES |
| 119591300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11031941 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Llc | 6709850241 | 509 |
| Entity Name | Minuteclinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20070217000007 |
| Entity Name | Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770354763 PECOS PAC ID: 0941642169 Enrollment ID: O20241108001179 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tyler Matthew Rodriguez Lichtenberg, NP 8954 Lantana Rd, Lake Worth, FL 33467-6112 Ph: (561) 434-4776 | Mr Tyler Matthew Rodriguez Lichtenberg, NP 8954 Lantana Rd, Lake Worth, FL 33467-6112 Ph: (561) 434-4776 |
Geralde St Surin Bridges, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6656 Rivermill Club Dr, Lake Worth, FL 33463 Phone: 786-333-7375 | |
Lazara Lucia Sanchez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3450 Lantana Rd Ste 100, Lake Worth, FL 33462 Phone: 561-965-1864 | |
Kelly Liang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3450 Lantana Rd Ste 100, Lake Worth, FL 33462 Phone: 561-965-1864 Fax: 561-967-5005 | |
Carla Petion, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4560 Lantana Rd Ste 110115, Lake Worth, FL 33463 Phone: 305-266-2929 | |
Mary Gopeesingh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5968 Western Way, Lake Worth, FL 33463 Phone: 561-307-7689 | |
Nuria Vadine Edouard, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5486 Barnstead Cir, Lake Worth, FL 33463 Phone: 561-758-5991 | |
Mrs. Tracy-ann Patrice Miriki, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8803 Willow Cove Ln, Lake Worth, FL 33467 Phone: 561-876-1706 |