Tyler K Childers, AA - Medicare Anesthesiologist Assistant in Greenville, SC

  1. Home
  2. Anesthesiologist Assistant
  3. SC
  4. Greenville
Tyler K Childers, AA is a medicare enrolled "Anesthesiologist Assistant" in Greenville, South Carolina. His current practice location is 701 Grove Rd, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 455-3076.

Tyler K Childers is licensed to practice in South Carolina (license number TL30) 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 1114266632.

Contact Information

Tyler K Childers, AA
701 Grove Rd,
Greenville, SC 29605-4210
(864) 455-3076
Not Available

Map and Direction




Provider's Profile

Full NameTyler K Childers
GenderMale
SpecialityAnesthesiologist Assistant
Location701 Grove Rd, Greenville, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114266632
  • Provider Enumeration Date: 02/04/2013
  • Last Update Date: 05/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8022263375
  • Enrollment ID: I20130312000568

Medical Identifiers

Medical identifiers for Tyler K Childers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114266632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant TL30 (South Carolina)Primary

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 K Childers allows following entities to bill medicare on his behalf.
Entity NameConcordia Anesthesiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619296464
PECOS PAC ID: 8325172885
Enrollment ID: O20150127000437
Entity NamePrisma Health-upstate
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649726738
PECOS PAC ID: 5698063162
Enrollment ID: O20161222000767

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 K Childers 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 AddressPractice Location Address
Tyler K Childers, AA
4211 Trolley Line Rd,
Aiken, SC 29801-2749

Ph: () -		Tyler K Childers, AA
701 Grove Rd,
Greenville, SC 29605-4210

Ph: (864) 455-3076

Reviews and Comments


Anesthesiologist Assistant Nurses in Greenville, SC

Stephen Chas Goodwin, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615
Phone: 864-522-3700    Fax: 864-522-3705
Mr. Christopher Robert Brown,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615
Phone: 864-522-3700    Fax: 864-522-3705
Taylor Douglas Vance,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 701 Grove Rd, Greenville, SC 29605
Phone: 864-455-3076    Fax: 864-455-4135
Allison Paige Hathaway, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615
Phone: 864-522-3700    Fax: 864-522-3705
Daniel Ziebko, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615
Phone: 864-522-3700    Fax: 864-522-3705
Jennifer Frances Moon, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 701 Grove Rd, Greenville, SC 29605
Phone: 864-455-3076    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.