Tyler Lee Heflin, PT is a medicare enrolled "Physical Therapist" provider in Lawrenceville, Illinois. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Omspt Holdings Llc and his current practice location is
2200 State St, Lawrenceville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 943-1000.
Tyler Lee Heflin is licensed to practice in Illinois (license number 070.029849) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679177307.
Healthcare Provider's Profile
| Full Name | Tyler Lee Heflin |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 6 Years |
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| Location | 2200 State St, Lawrenceville, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tyler Lee Heflin graduated from medical school in 2020
NPI Data:
- NPI Number: 1679177307
- Provider Enumeration Date: 11/23/2020
- Last Update Date: 06/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 1153720024
- Enrollment ID: I20241126002911
Medical Identifiers
Medical identifiers for Tyler Lee Heflin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679177307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 070.029849 (Illinois) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | 070.029849 (Illinois) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Omspt Holdings Llc | 1850789066 | 12 |
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 Lee Heflin allows following entities to bill medicare on his behalf.
| Provider Name | Omspt Holdings Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1790445062
PECOS PAC ID: 1850789066
Enrollment ID: O20220228001101 |
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| Provider Name | At Home By Enhance Therapies Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124603246
PECOS PAC ID: 4183033210
Enrollment ID: O20240820004126 |
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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 Lee Heflin 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 Address | Practice Location Address |
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Tyler Lee Heflin, PT
2800 E 1225th Ave,
Oblong, IL 62449-2526
Ph: (618) 421-2031 | Tyler Lee Heflin, PT
2200 State St,
Lawrenceville, IL 62439-1899
Ph: (618) 943-1000 |
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