| Dr David Tylicki, MD | |
|
36500 Aurora Dr, Summit, WI 53066-4899 | |
| (262) 434-5000 | |
| Not Available |
| Full Name | Dr David Tylicki |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 26 Years |
| Location | 36500 Aurora Dr, Summit, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518074624 | NPI | - | NPPES |
| 34679900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2003014015 (Missouri) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 45027 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center - Summit | Summit, WI | Hospital |
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3716 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Tylicki, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr David Tylicki, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-5000 |
Amy R Ford, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 Fax: 414-805-7348 | |
Dr. Olivia Joi Steiner, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 |