Tyler Medical Clinic Inc
A Medicare group practice based in Tyler, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1557252533), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1557252533
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040320000679 | MN | Part B Supplier - Clinic/Group Practice | 1649223439 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Lake Benton, MN1
- Tyler, MN1
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (4).
-
Heidi Ann Hansen, APRN, CNP
- Family Nurse Practitioner
- Ivanhoe, MN
- NPI 1629414578
-
Syed Murtaza Hasan Kazmi, MD
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1174009971
-
Marcia S Kells, RN CNP
- Family Nurse Practitioner
- Tyler, MN
- NPI 1164498804
-
Richard L Klingler, MD
- General Practice Physician
- Tyler, MN
- NPI 1235186230
-
Taylor Renee Kor
- Physician Assistant
- Marshall, MN
- NPI 1013647080
-
Jessica Joy Moriarty, CNP
- Family Nurse Practitioner
- Marshall, MN
- NPI 1710207063
-
Amy Frances Nicolas, CNP
- Family Nurse Practitioner
- Marshall, MN
- NPI 1619231834
-
Christopher Stephen Reynolds, M.D.
- Family Medicine Physician
- Tyler, MN
- NPI 1134563653
-
Luann Elizabeth Weber, PA-C
- Medical Physician Assistant
- Tyler, MN
- NPI 1285687004
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.