Tyler R Tanzyus, FNP-BC - Medicare Nurse Practitioner in Saint Louis, MO

Tyler R Tanzyus, FNP-BC is a medicare enrolled "Nurse Practitioner" in Saint Louis, Missouri. He went to Southern Illinois University School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sparta Community Hospital D/b/a Quality Healthcare Clinics and his current practice location is 3009 N Ballas Rd Ste 102b, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 996-7080.

Tyler R Tanzyus is licensed to practice in Missouri (license number 2023047204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245856657.

Contact Information

Tyler R Tanzyus, FNP-BC
3009 N Ballas Rd Ste 102b,
Saint Louis, MO 63131-2343
(314) 996-7080
(314) 996-7085

Map and Direction




Provider's Profile

Full NameTyler R Tanzyus
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location3009 N Ballas Rd Ste 102b, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyler R Tanzyus attended and graduated from Southern Illinois University School Of Medicine in 2021
  NPI Data:
  • NPI Number: 1245856657
  • Provider Enumeration Date: 06/22/2020
  • Last Update Date: 04/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759779291
  • Enrollment ID: I20211102002184

Medical Identifiers

Medical identifiers for Tyler R Tanzyus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245856657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209023840 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209023840 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
363L00000XNurse Practitioner 2023047204 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sparta Community HospitalSparta, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sparta Community Hospital D/b/a Quality Healthcare Clinics670987046237

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 R Tanzyus allows following entities to bill medicare on his behalf.
Entity NameSparta Community Hospital D/b/a Quality Healthcare Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114984226
PECOS PAC ID: 6709870462
Enrollment ID: O20040414000594

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 R Tanzyus 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 R Tanzyus, FNP-BC
660 Mason Ridge Center Dr Ste 300,
Saint Louis, MO 63141-8512

Ph: (314) 448-3791
Tyler R Tanzyus, FNP-BC
3009 N Ballas Rd Ste 102b,
Saint Louis, MO 63131-2343

Ph: (314) 996-7080

Reviews and Comments


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Mrs. Michelle Marie Bloom, ACNP
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Medicare: Accepting Medicare Assignments
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Phone: 800-862-9980    Fax: 314-362-1185

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.