| Dr Mike O Tyler Jr, MD, | |
|
9565 Highway 78 Bldg 100, Ladson, SC 29456-4118 | |
| (843) 553-7615 | |
| (843) 553-1008 |
| Full Name | Dr Mike O Tyler Jr |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 49 Years |
| Location | 9565 Highway 78 Bldg 100, Ladson, South Carolina |
| 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 |
|---|---|---|---|
| 1750348371 | NPI | - | NPPES |
| 085874 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 8587 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trident Medical Center | Charleston, SC | Hospital |
| Colleton Medical Center | Walterboro, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Surgical Specialists Llc | 1658540505 | 31 |
| Entity Name | Tri-county Surgical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659661544 PECOS PAC ID: 1658540505 Enrollment ID: O20110810000001 |
| Entity Name | Southern Coast Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386148617 PECOS PAC ID: 9234484577 Enrollment ID: O20180611000373 |
| Entity Name | Seaside Spine Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588316046 PECOS PAC ID: 8921485277 Enrollment ID: O20220506001750 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mike O Tyler Jr, MD, 9565 Highway 78 Bldg 100, Ladson, SC 29456-4118 Ph: (843) 553-7615 | Dr Mike O Tyler Jr, MD, 9565 Highway 78 Bldg 100, Ladson, SC 29456-4118 Ph: (843) 553-7615 |
Dr. Sabino J D'agostino, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 9565 Highway 78 Bldg 100, Ladson, SC 29456 Phone: 843-797-5050 Fax: 843-797-3633 |