Tyler W Secor, MS, LPC-IT in West Bend, WI - Medicare Counselor Provider

Tyler W Secor, MS, LPC-IT is a medicare enrolled "Counselor - Mental Health" provider in West Bend, Wisconsin. His current practice location is 1622 Chestnut St, West Bend, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 306-9800.

Tyler W Secor is licensed to practice in Wisconsin (license number 4320-226) 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 1740840420.

Contact Information

	Tyler W Secor, MS, LPC-IT
	1622 Chestnut St, West Bend, WI 53095-3014
	(262) 306-9800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler W Secor
Gender	Male
Speciality	Counselor - Mental Health
Location	1622 Chestnut St, West Bend, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740840420
Provider Enumeration Date: 06/16/2019
Last Update Date: 06/16/2019

Medicare PECOS Information:

PECOS PAC ID: 0648610345
Enrollment ID: I20240429001583

Medical Identifiers

Medical identifiers for Tyler W Secor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740840420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4320-226 (Wisconsin)	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. Tyler W Secor allows following entities to bill medicare on his behalf.

Entity Name	Alarus Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457788242 PECOS PAC ID: 8022231026 Enrollment ID: O20140520001508

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 W Secor 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
Tyler W Secor, MS, LPC-IT 630 Elm St, West Bend, WI 53095-3229 Ph: (262) 338-1661	Tyler W Secor, MS, LPC-IT 1622 Chestnut St, West Bend, WI 53095-3014 Ph: (262) 306-9800

Reviews and Comments

Counselor in West Bend, WI

Renee M Janusz, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St Ste 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827
William James Skalecki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Main St Ste 110, West Bend, WI 53095 Phone: 262-707-3052
Jennifer Ryan, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1626 Clarence Ct, West Bend, WI 53095 Phone: 262-338-8611
Jonathan France, LPC, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 333 E Washington St Ste 2100, West Bend, WI 53095 Phone: 262-365-6563 Fax: 262-365-6559
Emma Rydell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 724 Elm St, West Bend, WI 53095 Phone: 262-353-9701
Hollister L Jefferson, M.A., SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W River Dr, West Bend, WI 53090 Phone: 262-334-4340
Shana J Schloemer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1615 Barton Ave, West Bend, WI 53090 Phone: 262-334-5392 Fax: 262-334-4475

Tyler W Secor, MS, LPC-IT - Medicare Counselor in West Bend, WI