Dr Tyler Tolleson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. His current practice location is
1800 Orleans St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 955-5987.
Dr Tyler Tolleson is licensed to practice in * (Not Available) (license number ) 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 1336881986.
Physician's Profile
Full Name | Dr Tyler Tolleson |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1800 Orleans St, Baltimore, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336881986
- Provider Enumeration Date: 04/12/2022
- Last Update Date: 06/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1052830320
- Enrollment ID: I20250529002340
Medical Identifiers
Medical identifiers for Dr Tyler Tolleson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336881986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0202X | Pediatrics - Pediatric Cardiology | 47954 (Alabama) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Maryland) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Tolleson 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 Tolleson, MD 1600 Medical Center Dr, Huntington, WV 25701-3656 Ph: (304) 691-1300 | Dr Tyler Tolleson, MD 1800 Orleans St, Baltimore, MD 21287-0010 Ph: (410) 955-5987 |
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