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Tyler Edwards Morrison

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3665 Kearny Villa Rd Ste 101, San Diego, CA 92123-1954

PECOS Enrollment

This provider is enrolled in PECOS as TYLER MORRISON.

Based on the most recent information from CMS, provider Tyler Edwards Morrison is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1912391814
Provider Type
Individual
Full Name
Morrison, Tyler Edwards
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/28/2015
Last Updated
1/14/2023

Contact Information

Practice Location

3665 Kearny Villa Rd Ste 101, San Diego, CA 92123-1954

(858) 966-8999

Unlisted Fax

Mailing Location

888 Prospect St Ste 200-1120, La Jolla, CA 92037-4260

(858) 224-2534

(512) 256-9814

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A144917 California
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A144917 California

Tyler Edwards Morrison

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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