350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-2733 US PECOS Enrolled
Tyler Jay Staley
Sports Medicine Physician
- DAYTONA BEACH, FL
- Phone: (386)-238-3290
- Last Updated 7/11/2013
Overview
Tyler Jay Staley is a Sports Medicine Physician in the DAYTONA BEACH area. Tyler Jay Staley primary office location is at 350 N CLYDE MORRIS BLVD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013189877 and the information was updated approximately 13 years ago.
Tyler Jay Staley is affiliated with one medical group in the DAYTONA BEACH area, FLORIDA HEALTH CARE PLAN INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 112139 | FL |
| 44335 | KY |
| Board Certifications |
|---|
| Physical Medicine and Rehabilitation |
| Sports Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| TRICARE | 1013189877 | FL |
| MEDICAID | 007276600 | FL |
| BCBS | 14MV1 | FL |
| Taxonomy | State | Primary? |
|---|---|---|
| Sports Medicine Physician - Taxonomy Code 2081S0010X | FL | Y |
| Physician (Rehabilitation) - Taxonomy Code 208100000X | KY | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20130104000156 |
| PECOS Individual PAC ID: | 0446403299 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
Find information on any health care provider or organization that has an National Provider Identifier, view related providers and organizations as well as referral information when available.
Gain Insights into the network of healthcare.
