Tyler Hooton, MD in Saint Louis, MO - Medicare Student in an Organized Health Care Education/Training Program

Tyler Hooton, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Saint Louis, Missouri. His current practice location is 1008 S Spring Ave, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 977-3400.

Tyler Hooton 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 1841828811.

Contact Information

	Tyler Hooton, MD
	1008 S Spring Ave, Saint Louis, MO 63110-2520
	(314) 977-3400
	Not Available

Map and Direction

Physician's Profile

Full Name	Tyler Hooton
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	1008 S Spring Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841828811
Provider Enumeration Date: 03/27/2020
Last Update Date: 01/20/2024

Medicare PECOS Information:

PECOS PAC ID: 6406257526
Enrollment ID: I20240515002621

Medical Identifiers

Medical identifiers for Tyler Hooton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841828811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	2023047873 (Missouri)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Tyler Hooton allows following entities to bill medicare on his behalf.

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

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. Tyler Hooton 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
Tyler Hooton, MD 1008 S Spring Ave, Saint Louis, MO 63110-2520 Ph: (208) 821-1141	Tyler Hooton, MD 1008 S Spring Ave, Saint Louis, MO 63110-2520 Ph: (314) 977-3400

Tyler Hooton, MD - Medicare Student in an Organized Health Care Education/Training Program in Saint Louis, MO