Stephanie Renee Tyo, MD is a medicare enrolled "Family Medicine" physician in Belle, West Virginia. 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
1 Warrior Way Ste 103, Belle, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 949-3591.
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.
Physician's Profile
| Full Name | Stephanie Renee Tyo |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 16 Years |
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| Location | 1 Warrior Way Ste 103, Belle, West Virginia |
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| 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: 05/13/2025
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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144575820 PECOS PAC ID: 4587812888 Enrollment ID: O20120911000666 |
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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 104 Alex Ln, Charleston, WV 25304-2952 Ph: (304) 734-2040 | Stephanie Renee Tyo, MD 1 Warrior Way Ste 103, Belle, WV 25015-1356 Ph: (304) 949-3591 |
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