Stephanie Renee Tyo, MD in Tyler, TX - Medicare Family Practice

Stephanie Renee Tyo, MD is a medicare enrolled "Family Medicine" physician in Tyler, Texas. She went to West Virginia University School Of Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cabin Creek Health Center Inc, Cabin Creek Health Center Inc, Tyler Family Circle Of Care and her current practice location is 13172 State Highway 64 E, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 535-9041.

Stephanie Renee Tyo is licensed to practice in West Virginia (license number 30198) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417277435.

Contact Information

	Stephanie Renee Tyo, MD
	13172 State Highway 64 E, Tyler, TX 75707-5340
	(903) 535-9041
	(903) 630-6740

Map and Direction

Physician's Profile

Full Name	Stephanie Renee Tyo
Gender	Female
Speciality	Family Practice
Experience	16 Years
Location	13172 State Highway 64 E, Tyler, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Renee Tyo attended and graduated from West Virginia University School Of Medicine in 2010

NPI Data:

NPI Number: 1417277435
Provider Enumeration Date: 06/02/2010
Last Update Date: 01/05/2026

Medicare PECOS Information:

PECOS PAC ID: 2062655277
Enrollment ID: I20130906000371

Medical Identifiers

Medical identifiers for Stephanie Renee Tyo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417277435	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	30198 (West Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cabin Creek Health Center Inc	2466431101	16
Cabin Creek Health Center Inc	2466431101	16
Tyler Family Circle Of Care	4587812888	27

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. Stephanie Renee Tyo allows following entities to bill medicare on her behalf.

Entity Name	Tyler Family Circle Of Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144575820 PECOS PAC ID: 4587812888 Enrollment ID: O20120911000666

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. Stephanie Renee Tyo 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
Stephanie Renee Tyo, MD 523 S Fannin Ave, Tyler, TX 75702-8204 Ph: (903) 535-9041	Stephanie Renee Tyo, MD 13172 State Highway 64 E, Tyler, TX 75707-5340 Ph: (903) 535-9041

Reviews and Comments

Family Medicine Doctors in Tyler, TX

Dr. John W Scroggins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060
Dr. James Kent Gray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707 Phone: 903-655-0880 Fax: 903-654-6415
Dr. Eric R Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Manhatton, Tyler, TX 75701 Phone: 903-509-8888
Michele C Bosworth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 Fax: 903-877-5080
Dr. James A Lively, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Manhatton Dr, Tyler, TX 75701 Phone: 903-509-8888
Steven J Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8764
Andrea M Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060

Stephanie Renee Tyo, MD - Medicare Family Practice in Tyler, TX