Renay Tyler, ACNP in Baltimore, MD - Medicare Registered Nurse

Renay Tyler, ACNP is a medicare enrolled "Registered Nurse - Nutrition Support" in Baltimore, Maryland. Her current practice location is 600 N Wolfe St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 502-2590.

Renay Tyler is licensed to practice in Maryland (license number R072779) 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 1548327083.

Contact Information

	Renay Tyler, ACNP
	600 N Wolfe St, Baltimore, MD 21287-0005
	(410) 502-2590
	(410) 955-4870

Map and Direction

Provider's Profile

Full Name	Renay Tyler
Gender	Female
Speciality	Registered Nurse - Nutrition Support
Location	600 N Wolfe St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548327083
Provider Enumeration Date: 01/03/2007
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8123294378
Enrollment ID: I20190814000081

Medical Identifiers

Medical identifiers for Renay Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548327083	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WN1003X	Registered Nurse - Nutrition Support	R072779 (Maryland)	Primary
363LA2100X	Nurse Practitioner - Acute Care	R072779 (Maryland)	Secondary

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. Renay Tyler allows following entities to bill medicare on her behalf.

Entity Name	University Of Maryland Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687

Entity Name	Maryland General Clinical Practice Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770684805 PECOS PAC ID: 8123926649 Enrollment ID: O20041109000226

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. Renay 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
Renay Tyler, ACNP 1120 Ryegate Rd, Towson, MD 21286-1745 Ph: (410) 583-5299	Renay Tyler, ACNP 600 N Wolfe St, Baltimore, MD 21287-0005 Ph: (410) 502-2590

Reviews and Comments

Registered Nurse Nurses in Baltimore, MD

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Theresa J Ruddy, C.P.N.P., CRNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-5260
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Tonya Alae Cook, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5808 Belair Rd # 1026, Baltimore, MD 21206 Phone: 443-854-3082
Kristine Lynn Fisher, MSN, BSN, RN, AGACNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 345 Saint Paul St, Baltimore, MD 21202 Phone: 717-504-9365

Renay Tyler, ACNP - Medicare Registered Nurse in Baltimore, MD