| Mrs Theresa Montgomery Tyrie, ARNP | |
|
2021 N Crooked Branch Dr, Lecanto, FL 34461-9453 | |
| (352) 436-4428 | |
| Not Available |
| Full Name | Mrs Theresa Montgomery Tyrie |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 2021 N Crooked Branch Dr, Lecanto, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649753468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP9293072 (Florida) | Primary |
| Entity Name | Padala Family Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447505227 PECOS PAC ID: 2466608500 Enrollment ID: O20120806000802 |
| Entity Name | Sun Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235731522 PECOS PAC ID: 3173934346 Enrollment ID: O20201118002151 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theresa Montgomery Tyrie, ARNP 2021 N Crooked Branch Dr, Lecanto, FL 34461-9453 Ph: () - | Mrs Theresa Montgomery Tyrie, ARNP 2021 N Crooked Branch Dr, Lecanto, FL 34461-9453 Ph: (352) 436-4428 |
Sally E Mcdonald, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 521 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-746-0707 Fax: 352-746-6333 | |
Tiffany Eddins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 521 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-746-0707 Fax: 352-746-6333 | |
Ashton Mae Wester, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320 | |
Jason Sirel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320 | |
Nancy Hindalong, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 | |
Charles F. Brinegar Jr., ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 | |
Mrs. Ann Marie O'shall, APRN FNP BC-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 |