Mr Tyler Matthew Rodriguez Lichtenberg, NP in Midlothian, VA

Mr Tyler Matthew Rodriguez Lichtenberg, NP is a medicare enrolled "Nurse Practitioner - Family" in Midlothian, Virginia. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Holy Cross Hospital Inc, Minuteclinic Llc and his current practice location is 13180 Midlothian Tpke, Midlothian, Virginia. You can reach out to his office (for appointments etc.) via phone at (866) 389-2727.

Mr Tyler Matthew Rodriguez Lichtenberg is licensed to practice in Virginia (license number 0024182693) 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
	13180 Midlothian Tpke, Midlothian, VA 23113-4245
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Tyler Matthew Rodriguez Lichtenberg
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	13180 Midlothian Tpke, Midlothian, Virginia
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: 03/26/2026

Medicare PECOS Information:

PECOS PAC ID: 2567852528
Enrollment ID: I20241217003837

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	0024182693 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holy Cross Hospital	Fort lauderdale, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holy Cross Hospital Inc	1850298365	305
Minuteclinic Llc	6709850241	571

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	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

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 13180 Midlothian Tpke, Midlothian, VA 23113-4245 Ph: (866) 389-2727	Mr Tyler Matthew Rodriguez Lichtenberg, NP 13180 Midlothian Tpke, Midlothian, VA 23113-4245 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Midlothian, VA

Jonathan Fielder, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2808 Fox Chase Ln, Midlothian, VA 23112 Phone: 804-303-9622 Fax: 804-716-4318
Rehana Sultana Kazi Glod, MSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14051 St Francis Blvd, Suite 1400, Midlothian, VA 23114 Phone: 804-325-8851
Ms. Laurie Powell Burke, R.N., N.P., C.S. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 13506 East Boundary Road, Suite A, Midlothian, VA 23112 Phone: 804-744-6714 Fax: 804-744-1265
Mrs. Amanda Kearse Miller, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1407 Huguenot Rd, Midlothian, VA 23113 Phone: 804-794-2299 Fax: 804-794-5774
Kaitlin J Delgado, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13572 Waterford Place, Midlothian, VA 23112 Phone: 804-560-8782 Fax: 804-525-2525
Mrs. Bailey Marie Gonzalez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6813 Velvet Antler Ct, Midlothian, VA 23112 Phone: 804-229-4476
Ann Madeleine Wilson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5955 Harbour Park Dr, Midlothian, VA 23112 Phone: 804-744-4495

Mr Tyler Matthew Rodriguez Lichtenberg, NP - Medicare Nurse Practitioner in Midlothian, VA