| Dr Tyler Andrew Evans, MD | |
|
1001 Main St Ste 300, Peoria, IL 61606-2036 | |
| (217) 528-7541 | |
| Not Available |
| Full Name | Dr Tyler Andrew Evans |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 12 Years |
| Location | 1001 Main St Ste 300, Peoria, Illinois |
| 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 |
|---|---|---|---|
| 1629416920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 036.153539 (Illinois) | Secondary |
| 208200000X | Plastic Surgery | 036.153539 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Memorial Medical Center | Springfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springfield Clinic, Llp | 0547166076 | 655 |
| Entity Name | Springfield Clinic, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler Andrew Evans, MD Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Dr Tyler Andrew Evans, MD 1001 Main St Ste 300, Peoria, IL 61606-2036 Ph: (217) 528-7541 |
Mr. Glyn E. Jones, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1001 Main Street, 3rd Floor, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545 | |
Dr. John E Lomax, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 | |
Todd Gerlach, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 Fax: 309-282-0500 |