| Dr Tyler E Emley, MD | |
|
1104 E Grace St, Rensselaer, IN 47978-3211 | |
| (219) 866-5141 | |
| (219) 866-3234 |
| Full Name | Dr Tyler E Emley |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 24 Years |
| Location | 1104 E Grace St, Rensselaer, Indiana |
| 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 |
|---|---|---|---|
| 1407989932 | NPI | - | NPPES |
| 200860790A | Medicaid | IN | |
| 0091108094 | Other | BLUE SHIELD OFILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01060040A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Community Hospital | Munster, IN | Hospital |
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1041 |
| Uro Surgery Associates Llc | 8628975562 | 14 |
| Entity Name | Uro Surgery Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648566 PECOS PAC ID: 8628975562 Enrollment ID: O20031217000998 |
| Entity Name | The Methodist Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
| Entity Name | Lutheran Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler E Emley, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Tyler E Emley, MD 1104 E Grace St, Rensselaer, IN 47978-3211 Ph: (219) 866-5141 |