| Tyler Thomas Reed, PA | |
|
2400 Harbor Blvd Ste 7, Port Charlotte, FL 33952-5038 | |
| (941) 766-5095 | |
| (941) 206-0326 |
| Full Name | Tyler Thomas Reed |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 2400 Harbor Blvd Ste 7, Port Charlotte, Florida |
| 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 |
|---|---|---|---|
| 1043851959 | NPI | - | NPPES |
| 105385400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9112940 (Florida) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA9112940 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Adventhealth Port Charlotte | Port charlotte, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Gulf Coast Medical Center | Fort myers, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lee Health System Inc | 9335672146 | 1381 |
| Florida Hospital Physician Group Inc | 2365679057 | 953 |
| Entity Name | Lee Memorial Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Entity Name | Lee Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Thomas Reed, PA 2400 Harbor Blvd Ste 7, Port Charlotte, FL 33952-5038 Ph: (941) 766-5095 | Tyler Thomas Reed, PA 2400 Harbor Blvd Ste 7, Port Charlotte, FL 33952-5038 Ph: (941) 766-5095 |
Grace Colarossi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948 Phone: 941-629-6262 |
David Andrew Kellenberger, PA, RD Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701 |
Jessica Blanco, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3340 Tamiami Trl, Port Charlotte, FL 33952 Phone: 941-764-5858 Fax: 941-764-1657 |
Mrs. Susan Jane Nolan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 |
Grace Diana Tice, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948 Phone: 941-629-6262 |
Iris Jeanne Swiderski, DHSC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181 |
Karlie Sweiderk, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2040 Tamiami Trl, Port Charlotte, FL 33948 Phone: 856-558-2924 |