Tyler Smith, NP - Medicare Nurse Practitioner in Jenks, OK

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Tyler Smith, NP is a medicare enrolled "Nurse Practitioner - Family" in Jenks, Oklahoma. His current practice location is 11204 S Cleveland St, Jenks, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 859-4691.

Tyler Smith is licensed to practice in Oklahoma (license number 105650) 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 1538514419.

Contact Information

Tyler Smith, NP
11204 S Cleveland St,
Jenks, OK 74037-6202
(918) 859-4691
Not Available

Map and Direction




Provider's Profile

Full NameTyler Smith
GenderMale
SpecialityNurse Practitioner - Family
Location11204 S Cleveland St, Jenks, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538514419
  • Provider Enumeration Date: 04/28/2016
  • Last Update Date: 04/28/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6901192574
  • Enrollment ID: I20160907002416

Medical Identifiers

Medical identifiers for Tyler Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538514419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 105650 (Oklahoma)Secondary
363LF0000XNurse Practitioner - Family 105650 (Oklahoma)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 Smith allows following entities to bill medicare on his behalf.
Entity NameGreen Country Emergency Physicians Group Of Tulsa, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972698553
PECOS PAC ID: 0345247052
Enrollment ID: O20061021000024
Entity NameCreek Nation Hospital & Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366593923
PECOS PAC ID: 5698786226
Enrollment ID: O20070821000130
Entity NameMercy Hospital Logan County, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306126818
PECOS PAC ID: 4587836200
Enrollment ID: O20121004000289
Entity NameMercy Hospital Watonga Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1497017529
PECOS PAC ID: 6305002759
Enrollment ID: O20140110000184
Entity NameMercy Hospital Kingfisher, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1285064618
PECOS PAC ID: 5395970180
Enrollment ID: O20140416000368

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 Smith 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 Smith, NP
11204 S Cleveland St,
Jenks, OK 74037-6202

Ph: (918) 859-4691		Tyler Smith, NP
11204 S Cleveland St,
Jenks, OK 74037-6202

Ph: (918) 859-4691

Reviews and Comments


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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.