Dr Timothy B Vyrostek, DC CCSP in Conneaut Lake, PA

Dr Timothy B Vyrostek, DC CCSP is a medicare enrolled "Chiropractor - Sports Physician" provider in Conneaut Lake, Pennsylvania. His current practice location is 10633 State Highway 18, Conneaut Lake, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 382-1970.

Dr Timothy B Vyrostek is licensed to practice in Pennsylvania (license number 4038) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003929308.

Contact Information

	Dr Timothy B Vyrostek, DC CCSP
	10633 State Highway 18, Conneaut Lake, PA 16316-3225
	(814) 382-1970
	(814) 382-3619

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Timothy B Vyrostek
Gender	Male
Speciality	Chiropractor - Sports Physician
Location	10633 State Highway 18, Conneaut Lake, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003929308
Provider Enumeration Date: 08/17/2006
Last Update Date: 05/03/2023

Medicare PECOS Information:

PECOS PAC ID: 2860431202
Enrollment ID: I20050426000853

Medical Identifiers

Medical identifiers for Dr Timothy B Vyrostek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003929308	NPI	-	NPPES
0016549110004	Medicaid	PA
961159	Other	PA	BCBS
205055	Other	PA	UPMC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	DC007097L (Pennsylvania)	Secondary
111NS0005X	Chiropractor - Sports Physician	4038 (Pennsylvania)	Primary

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. Dr Timothy B Vyrostek allows following entities to bill medicare on his behalf.

Provider Name	Lakeside Chiropractic P C
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992713903 PECOS PAC ID: 8628015302 Enrollment ID: O20050414000039

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. Dr Timothy B Vyrostek 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 Address	Practice Location Address
Dr Timothy B Vyrostek, DC CCSP 10633 State Highway 18, Conneaut Lake, PA 16316-3225 Ph: (814) 382-1970	Dr Timothy B Vyrostek, DC CCSP 10633 State Highway 18, Conneaut Lake, PA 16316-3225 Ph: (814) 382-1970

Reviews and Comments

Chiropractor in Conneaut Lake, PA

Brett Alan Keyser, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13245 Conneaut Lake Rd, Conneaut Lake, PA 16316 Phone: 814-382-8840 Fax: 814-382-8840
Conneaut Lake Chiropractic, Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 13245 Conneaut Lake Rd, Conneaut Lake, PA 16316 Phone: 814-382-8840 Fax: 814-382-8840
Lakeside Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 10633 State Highway 18, Conneaut Lake, PA 16316 Phone: 814-382-1970 Fax: 814-382-3619

Dr Timothy B Vyrostek, DC CCSP - Medicare Chiropractor in Conneaut Lake, PA