Mr Tyler Matthew Rodriguez Lichtenberg, NP in Pocomoke City, MD

Mr Tyler Matthew Rodriguez Lichtenberg, NP is a medicare enrolled "Nurse Practitioner - Family" in Pocomoke City, Maryland. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Three Lower Counties Community Services Inc. and his current practice location is 305 10th St Ste 104, Pocomoke City, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 957-0273.

Mr Tyler Matthew Rodriguez Lichtenberg is licensed to practice in Maryland (license number AC005187) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780357228.

Contact Information

	Mr Tyler Matthew Rodriguez Lichtenberg, NP
	305 10th St Ste 104, Pocomoke City, MD 21851-1607
	(410) 957-0273
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Tyler Matthew Rodriguez Lichtenberg
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	305 10th St Ste 104, Pocomoke City, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Tyler Matthew Rodriguez Lichtenberg graduated from nursing school in 2021

NPI Data:

NPI Number: 1780357228
Provider Enumeration Date: 07/30/2021
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 2567852528
Enrollment ID: I20230425000408

Medical Identifiers

Medical identifiers for Mr Tyler Matthew Rodriguez Lichtenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780357228	NPI	-	NPPES
119591300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AC005187 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Peninsula Home Care, Llc	Salisbury, MD	Home health agency
Peninsula Regional Medical Center	Salisbury, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Three Lower Counties Community Services Inc.	3678484300	67

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 Matthew Rodriguez Lichtenberg allows following entities to bill medicare on his behalf.

Entity Name	Three Lower Counties Community Services Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154354744 PECOS PAC ID: 3678484300 Enrollment ID: O20040324000093

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 Matthew Rodriguez Lichtenberg 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 Matthew Rodriguez Lichtenberg, NP Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015	Mr Tyler Matthew Rodriguez Lichtenberg, NP 305 10th St Ste 104, Pocomoke City, MD 21851-1607 Ph: (410) 957-0273

Reviews and Comments

Nurse Practitioner Nurses in Pocomoke City, MD

Christina Hargis, DNP, CRNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Market St Ste 101, Pocomoke City, MD 21851 Phone: 410-957-6622
Mrs. Stephanie Howard Mcfarland, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Market St, Pocomoke City, MD 21851 Phone: 410-957-9488 Fax: 410-957-9680
Ms. Marie Carnes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1817 Old Virginia Rd, Pocomoke City, MD 21851 Phone: 410-651-4040 Fax: 888-843-8455
Mrs. Micheline Costa Holmes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 10th St Ste 104, Pocomoke City, MD 21851 Phone: 410-957-0273 Fax: 410-957-0152
Ms. Ivanna Harshman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1817 Old Virginia Rd, Pocomoke City, MD 21851 Phone: 410-651-4040 Fax: 888-843-8455
Ms. Sheila Ann Kerpelman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 10th St Ste 104, Pocomoke City, MD 21851 Phone: 410-957-0273 Fax: 410-957-0152

Mr Tyler Matthew Rodriguez Lichtenberg, NP - Medicare Nurse Practitioner in Pocomoke City, MD