| Timothy Tyler, PA | |
|
706 Ross St, Oak Grove, LA 71263-9798 | |
| (318) 428-3237 | |
| Not Available |
| Full Name | Timothy Tyler |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 706 Ross St, Oak Grove, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144315987 | NPI | - | NPPES |
| 1625086 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | A10415 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hulin Urgent Care Services Llc | 6800051285 | 135 |
| Coastal Urgent Care, Llc | 8729138896 | 50 |
| Entity Name | Caldwell Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023283793 PECOS PAC ID: 9638063944 Enrollment ID: O20040209000941 |
| Entity Name | Coastal Urgent Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568601425 PECOS PAC ID: 8729138896 Enrollment ID: O20090611000042 |
| Entity Name | Hulin Urgent Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Tyler, PA 706 Ross St, Oak Grove, LA 71263-9798 Ph: (318) 428-3237 | Timothy Tyler, PA 706 Ross St, Oak Grove, LA 71263-9798 Ph: (318) 428-3237 |
Julie D Mcintosh, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 706 Ross St, Oak Grove, LA 71263 Phone: 318-428-6136 Fax: 318-428-6191 |
Lana Herring Crymes, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 706 Ross St, Oak Grove, LA 71263 Phone: 318-428-3237 Fax: 318-428-6180 |