Dr Mary Dolores Tyll, PHD ABPP MSCP - Medicare Psychologist in Crownpoint, NM

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Dr Mary Dolores Tyll, PHD ABPP MSCP is a medicare enrolled "Psychologist - Clinical" provider in Crownpoint, New Mexico. Her current practice location is Crownpoint Healthcare Facility/new Horizon Wellness Ctr, Hwy 371 & Navajo Route 9, Crownpoint, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 786-6309.

Dr Mary Dolores Tyll is licensed to practice in Florida (license number PY 6142) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356498919.

Contact Information

Dr Mary Dolores Tyll, PHD ABPP MSCP
Crownpoint Healthcare Facility/new Horizon Wellness Ctr, Hwy 371 & Navajo Route 9,
Crownpoint, NM 87313-0358
(505) 786-6309
(505) 786-2519

Map and Direction




Healthcare Provider's Profile

Full NameDr Mary Dolores Tyll
GenderFemale
SpecialityPsychologist - Clinical
LocationCrownpoint Healthcare Facility/new Horizon Wellness Ctr, Crownpoint, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356498919
  • Provider Enumeration Date: 01/05/2007
  • Last Update Date: 11/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4981963766
  • Enrollment ID: I20180124002625

Medical Identifiers

Medical identifiers for Dr Mary Dolores Tyll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356498919NPI-NPPES
PY6142OtherFLFLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE-PSYCHOLOGY
1310OtherNMNM BOARD OF PSYCHOLOGIST EXAMINERS-PSYCHOLOGY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1310 (New Mexico)Secondary
103TC0700XPsychologist - Clinical PY 6142 (Florida)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. Dr Mary Dolores Tyll allows following entities to bill medicare on her behalf.
Entity NameDhhs Phs Naihs Crownpoint Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114960093
PECOS PAC ID: 0143128041
Enrollment ID: O20031230000393

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. Dr Mary Dolores Tyll 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
Dr Mary Dolores Tyll, PHD ABPP MSCP
Po Box 358,
Crownpoint, NM 87313-0358

Ph: (505) 786-6309		Dr Mary Dolores Tyll, PHD ABPP MSCP
Crownpoint Healthcare Facility/new Horizon Wellness Ctr, Hwy 371 & Navajo Route 9,
Crownpoint, NM 87313-0358

Ph: (505) 786-6309

Reviews and Comments


Psychologist in Crownpoint, NM


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.

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