Tyler William Pickell, DO
Individual provider Active NPI Emergency Medicine Physician · Altamonte SPG, FL
NPI 1740848159 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1740848159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- OS18895 (FL)
- Practice address
- 601 E Altamonte Dr
Altamonte SPG, FL 32701-4802 - Phone
- (800) 424-3672
- Fax
- (954) 377-3042
- NPI assigned
- May 31, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Marian University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Emergency Physicians Kang and Associates MD LLC
Practice addresses (Care Compare)
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
Hospital & facility affiliations
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221026002676 | FL | Practitioner - Emergency Medicine | 3476887019 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125073744 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125073744 | IL | |
| Emergency Medicine Physician | 207P00000X | OS18895 | FL | Yes |
Addresses
Primary practice location
601 E Altamonte Dr
Altamonte SPG, FL 32701-4802
Mailing address
PO Box 19679
Springfield, IL 62794-9679
Phone (217) 545-3518
Other providers in Altamonte SPG, FL
- Tiffany McIntyre
- MD Now Medical Centers Inc
- Dana Lynn Nolan
- D'Erica Dione Oates
- Robbie Phillips
- Yacumb Prather
- Ana Saavedra
- Solution Health Specialists LLC
- Maria Judith Storer Beauchamp
- Generose Hipos Tadle
All providers in Altamonte SPG, FL · Emergency Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.