| Dr Carissa Tyo, MD | |
|
3400 Union Ave, Sheboygan, WI 53081-8426 | |
| (920) 802-2100 | |
| Not Available |
| Full Name | Dr Carissa Tyo |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 24 Years |
| Location | 3400 Union Ave, Sheboygan, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205843398 | NPI | - | NPPES |
| 100053775 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036112405 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 83453 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Illinois Hospital | Chicago, IL | Hospital |
| Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1058 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carissa Tyo, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Carissa Tyo, MD 3400 Union Ave, Sheboygan, WI 53081-8426 Ph: (920) 802-2100 |
Beth Kreutzer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Tyler Beranek, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 902-802-8426 | |
Jonathan J Pickos, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Charles R Strancke Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5553 Fax: 920-451-5113 | |
John Longano, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 414-290-6715 | |
David L Paton, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5553 Fax: 920-451-5113 |