Dr Tyler Mark Rist, MD in Charleston, SC

Dr Tyler Mark Rist, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Charleston, South Carolina. His current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-1414.

Dr Tyler Mark Rist is licensed to practice in South Carolina (license number MD95221) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356906697.

Contact Information

	Dr Tyler Mark Rist, MD
	171 Ashley Ave, Charleston, SC 29425-9638
	(843) 792-1414
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tyler Mark Rist
Gender	Male
Speciality	Otolaryngology - Facial Plastic Surgery
Location	171 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356906697
Provider Enumeration Date: 05/02/2019
Last Update Date: 08/14/2025

Medicare PECOS Information:

PECOS PAC ID: 6305177387
Enrollment ID: I20241203003242

Medical Identifiers

Medical identifiers for Dr Tyler Mark Rist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356906697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	MD95221 (South Carolina)	Secondary
207YS0123X	Otolaryngology - Facial Plastic Surgery	MD95221 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tyler Mark Rist allows following entities to bill medicare on his behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tyler Mark Rist is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Tyler Mark Rist, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: () -	Dr Tyler Mark Rist, MD 171 Ashley Ave, Charleston, SC 29425-9638 Ph: (843) 792-1414

Reviews and Comments

Otolaryngology Doctors in Charleston, SC

Ronald James Mcvicar, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1849 Savage Rd, Charleston, SC 29407 Phone: 843-766-7103 Fax: 843-576-2692
Nicole Kloosterman, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave # Msc550, Charleston, SC 29425 Phone: 843-792-8299
Dr. Mark Drury Ghegan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1849 Savage Rd, Charleston, SC 29407 Phone: 843-766-7103 Fax: 843-763-3834
Anthony Ghanem, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave Ste 1130, Charleston, SC 29425 Phone: 843-876-0791 Fax: 843-792-0546
Amanda Gemmiti, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. David Watson Rodwell Iii, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 67 Broad St, Suite 200, Charleston, SC 29401 Phone: 843-628-1415
Brandon Ithiel Esianor, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414

Dr Tyler Mark Rist, MD - Medicare Otolaryngology in Charleston, SC