Dr Tyler William Pickell, DO - Medicare Emergency Medicine in Altamonte Spg, FL

Dr Tyler William Pickell, DO is a medicare enrolled "Emergency Medicine" physician in Altamonte Spg, Florida. His current practice location is 601 E Altamonte Dr, Altamonte Spg, Florida. You can reach out to his office (for appointments etc.) via phone at (800) 424-3672.

Dr Tyler William Pickell is licensed to practice in Florida (license number OS18895) 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 1740848159.

Contact Information

Dr Tyler William Pickell, DO
601 E Altamonte Dr,
Altamonte Spg, FL 32701-4802
(800) 424-3672
(954) 377-3042



Physician's Profile

Full NameDr Tyler William Pickell
GenderMale
SpecialityEmergency Medicine
Location601 E Altamonte Dr, Altamonte Spg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740848159
  • Provider Enumeration Date: 05/31/2019
  • Last Update Date: 01/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476887019
  • Enrollment ID: I20221026002676

Medical Identifiers

Medical identifiers for Dr Tyler William Pickell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740848159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125073744 (Illinois)Secondary
207P00000XEmergency Medicine OS18895 (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 Tyler William Pickell allows following entities to bill medicare on his behalf.
Entity NameFlorida Emergency Physicians Kang And Associates Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811983752
PECOS PAC ID: 0143113878
Enrollment ID: O20040205000687

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Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881

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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. Dr Tyler William Pickell 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 Tyler William Pickell, DO
Po Box 19679,
Springfield, IL 62794-9679

Ph: (217) 545-3518
Dr Tyler William Pickell, DO
601 E Altamonte Dr,
Altamonte Spg, FL 32701-4802

Ph: (800) 424-3672

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Emergency Medicine Doctors in Altamonte Spg, FL


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