Tyler Keenum, CRNP - Medicare Nurse Practitioner in Tuscaloosa, AL

Tyler Keenum, CRNP is a medicare enrolled "Nurse Practitioner" in Tuscaloosa, Alabama. His current practice location is 2720 6th St, Tuscaloosa, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 759-8470.

Tyler Keenum is licensed to practice in Alabama (license number 1-142399) 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 1073041505.

Contact Information

Tyler Keenum, CRNP
2720 6th St,
Tuscaloosa, AL 35401-1731
(205) 759-8470
(205) 366-9001



Provider's Profile

Full NameTyler Keenum
GenderMale
SpecialityNurse Practitioner
Location2720 6th St, Tuscaloosa, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073041505
  • Provider Enumeration Date: 05/29/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668727926
  • Enrollment ID: I20180611001070

Medical Identifiers

Medical identifiers for Tyler Keenum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073041505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-142399 (Alabama)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. Tyler Keenum allows following entities to bill medicare on his behalf.
Entity NameCapstone Health Services Foundation Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740397751
PECOS PAC ID: 6103724489
Enrollment ID: O20040330001160

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Entity NameWest Alabama Aids Outreach
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033637434
PECOS PAC ID: 7517212376
Enrollment ID: O20180619001477

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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 Keenum 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
Tyler Keenum, CRNP
2720 6th St,
Tuscaloosa, AL 35401-1731

Ph: (205) 759-8470
Tyler Keenum, CRNP
2720 6th St,
Tuscaloosa, AL 35401-1731

Ph: (205) 759-8470

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Nurse Practitioner Nurses in Tuscaloosa, AL

Ms. Sarah Oliver Pate, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2731 Mlk Jr. Blvd, Tuscaloosa, AL 35401
Phone: 205-349-3250    Fax: 205-345-3993
Mrs. Haley Patrick Hill,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Rice Mine Road, Suite B, Tuscaloosa, AL 35406
Phone: 205-349-4200    
Doris D Patton, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3701 Loop Rd, Tuscaloosa, AL 35404
Phone: 205-554-2000    
Casey Elizabeth Jones, RN, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1651 Ruby Tyler Pkwy, Tuscaloosa, AL 35404
Phone: 205-507-8930    
Caleb Elmore, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 701 University Blvd E Ste 400, Tuscaloosa, AL 35401
Phone: 205-752-0694    Fax: 205-752-6244
Holly K. Freeman, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Towncenter Blvd, Ste 300, Tuscaloosa, AL 35406
Phone: 205-710-3838    Fax: 205-710-3839
Alice Mae Cunningham, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 University Blvd, Bryce Hospital, Tuscaloosa, AL 35401
Phone: 205-759-0799    Fax: 205-759-0845

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