| Tyler Michael, | |
|
251 N 4th St, Oakland, MD 21550-1375 | |
| (301) 533-4000 | |
| Not Available |
| Full Name | Tyler Michael |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 251 N 4th St, Oakland, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275276131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0008990 (Maryland) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Professional Emergency Physician Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477554129 PECOS PAC ID: 5395728687 Enrollment ID: O20040609000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Michael, 13806 Oleander Dr Sw, Cumberland, MD 21502-5934 Ph: Not Available | Tyler Michael, 251 N 4th St, Oakland, MD 21550-1375 Ph: (301) 533-4000 |
Lisa C Scott, PHYSICIANS ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 69 Wolf Acres Drive, Oakland, MD 21550 Phone: 301-334-4400 Fax: 301-334-8228 |
Kambrie Melissa Bosley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4000 |
Mrs. Karen Diana Hershfeld, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4000 Fax: 301-533-4208 |
Alyssa Marie Turkowski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4000 |
Mary Katherine Kretchman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 311 N 4th St, Oakland, MD 21550 Phone: 301-334-7855 |
Barbara Ann Monn, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1027 Memorial Dr, Oakland, MD 21550 Phone: 301-533-3300 Fax: 301-533-3299 |
Amber Dawn King, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 311 N 4th St, Oakland, MD 21550 Phone: 301-334-7855 |