Samantha Tylka, is a
Nurse Anesthetist, Certified Registered based in Lockport, Illinois. Samantha Tylka is licensed to practice in Illinois (license number 144305) and her current practice location is
17037 W 143rd St, Lockport, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 307-9268.
NPI number for Samantha Tylka is 1811663529 and her current mailing address is 17037 W 143rd St, Lockport, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811663529.
Provider's Profile
Full Name | Samantha Tylka |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 17037 W 143rd St, Lockport, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811663529
- Provider Enumeration Date: 08/22/2021
- Last Update Date: 06/06/2023
Medical Identifiers
Medical identifiers for Samantha Tylka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811663529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041.455656 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 144305 (Illinois) | Primary |
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. Samantha Tylka is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Tylka, 17037 W 143rd St, Lockport, IL 60441-9424 Ph: (708) 307-9268 | Samantha Tylka, 17037 W 143rd St, Lockport, IL 60441-9424 Ph: (708) 307-9268 |
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