Tyler William Randall, | |
1338 Phay Ave, Canon City, CO 81212-2311 | |
(719) 285-2000 | |
Not Available |
Full Name | Tyler William Randall |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1338 Phay Ave, Canon City, Colorado |
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 |
---|---|---|---|
1780241794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN.0994692-NP (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Frye Regional Medical Center | Hickory, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dlp Frye Hospitalists Llc | 1951702539 | 27 |
Entity Name | Lake Norman Inpatient Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851766885 PECOS PAC ID: 7315241338 Enrollment ID: O20160210002905 |
Entity Name | Dlp Frye Hospitalists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275128944 PECOS PAC ID: 1951702539 Enrollment ID: O20210702001866 |
Mailing Address | Practice Location Address |
---|---|
Tyler William Randall, Po Box 911057, Denver, CO 80291-1057 Ph: (800) 953-0104 | Tyler William Randall, 1338 Phay Ave, Canon City, CO 81212-2311 Ph: (719) 285-2000 |
Mrs. Deborah Eileen Shock, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 W Hwy 50, Canon City, CO 81212 Phone: 719-269-4078 | |
Marsha L. Coberly, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, St Thomas More Hospital, Canon City, CO 81212 Phone: 719-285-2000 | |
Teresa A. Hoskins, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 | |
Ms. Betty Ann Krenson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 Yale Pl, Canon City, CO 81212 Phone: 719-275-2301 Fax: 719-275-7048 | |
Sarah Troemel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 S 9th St, Canon City, CO 81212 Phone: 719-269-8820 | |
Melissa Rogers, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Evans Rd, Canon City, CO 81212 Phone: 719-269-5002 | |
Mrs. Susan Katherine Frady, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 S 9th St, Canon City, CO 81212 Phone: 719-269-8820 Fax: 719-204-0230 |