Tyler Allen Rex, in South Bend, IN - Medicare Nurse Anesthetist, Certified Registered

Tyler Allen Rex, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Bend, Indiana. His current practice location is 615 N Michigan St, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (754) 647-1000.

Tyler Allen Rex is licensed to practice in Indiana (license number 28216557C) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710741871.

Contact Information

	Tyler Allen Rex,
	615 N Michigan St, South Bend, IN 46601-1033
	(754) 647-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Tyler Allen Rex
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	615 N Michigan St, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710741871
Provider Enumeration Date: 02/09/2024
Last Update Date: 05/29/2024

Medicare PECOS Information:

PECOS PAC ID: 9133662497
Enrollment ID: I20240614003814

Medical Identifiers

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

Identifier	Type	State	Issuer
1710741871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28216557C (Indiana)	Primary
163WC0200X	Registered Nurse - Critical Care Medicine	28216557C (Indiana)	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. Tyler Allen Rex allows following entities to bill medicare on his behalf.

Entity Name	Southeast Anesthesiologists, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210685 PECOS PAC ID: 6800837980 Enrollment ID: O20050518001265

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. Tyler Allen Rex 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
Tyler Allen Rex, 17875 Bellows Falls Dr N, South Bend, IN 46614-9721 Ph: () -	Tyler Allen Rex, 615 N Michigan St, South Bend, IN 46601-1033 Ph: (754) 647-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in South Bend, IN

Ms. Jamie Ann Davidson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1536 Crestwood Blvd, South Bend, IN 46635 Phone: 574-360-2619
Joshua Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-8161
Alvaro Andres Osorio, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Mrs. Julie Anne Addis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr, South Bend, IN 46635 Phone: 574-271-0893
Mr. Jay Biesenthal, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-8161
Janet Vardaman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17501 Generations Dr, South Bend, IN 46635 Phone: 574-234-0049

Tyler Allen Rex, - Medicare Nurse Anesthetist, Certified Registered in South Bend, IN