Mrs Angela Diahann Tyler, in Odessa, TX - Medicare Nurse Practitioner

Mrs Angela Diahann Tyler, is a medicare enrolled "Nurse Practitioner - Family" in Odessa, Texas. Her current practice location is 601 Golder Ave, Odessa, Texas. You can reach out to her office (for appointments etc.) via phone at (432) 580-8000.

Mrs Angela Diahann Tyler is licensed to practice in Texas (license number AP143184) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720625213.

Contact Information

	Mrs Angela Diahann Tyler,
	601 Golder Ave, Odessa, TX 79761-4412
	(432) 580-8000
	(432) 332-9677

Map and Direction

Provider's Profile

Full Name	Mrs Angela Diahann Tyler
Gender	Female
Speciality	Nurse Practitioner - Family
Location	601 Golder Ave, Odessa, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720625213
Provider Enumeration Date: 12/04/2019
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID: 3375935380
Enrollment ID: I20220126000040

Medical Identifiers

Medical identifiers for Mrs Angela Diahann Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720625213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP143184 (Texas)	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. Mrs Angela Diahann Tyler allows following entities to bill medicare on her behalf.

Entity Name	Colvin Pain Management Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619386729 PECOS PAC ID: 1254558133 Enrollment ID: O20140908000991

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. Mrs Angela Diahann Tyler 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
Mrs Angela Diahann Tyler, 601 Golder Ave, Odessa, TX 79761-4412 Ph: (432) 580-8000	Mrs Angela Diahann Tyler, 601 Golder Ave, Odessa, TX 79761-4412 Ph: (432) 580-8000

Reviews and Comments

Nurse Practitioner Nurses in Odessa, TX

Sandra Nieto, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4060 Medical Park Dr, Odessa, TX 79765 Phone: 432-582-2882 Fax: 432-582-2884
Tiffany L Vaught, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 605 E 4th St Ste 203, Odessa, TX 79761 Phone: 432-617-8329
Florenda De Guzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 N Tom Green, Odessa, TX 79761 Phone: 432-580-9876 Fax: 432-580-9877
Mrs. Sarah Joy Bender, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-550-1000
Mrs. Cryselda Ann Russell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 608 N Muskingum Ave, Odessa, TX 79761 Phone: 432-580-9168 Fax: 432-580-8221
Abidemi Yemisi Adeniran, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2401 Fax: 432-640-4778
Morris Al Smith, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Shiloh Rd, Odessa, TX 79762 Phone: 432-552-7913

Mrs Angela Diahann Tyler, - Medicare Nurse Practitioner in Odessa, TX