| Tyler J Shriver, DO | |
|
205 S Hanover St, Hanover, KS 66945-8924 | |
| (785) 337-2214 | |
| (785) 337-2727 |
| Full Name | Tyler J Shriver |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 205 S Hanover St, Hanover, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952975971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PENDING (Kansas) | Primary |
| Entity Name | Hanover Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285635425 PECOS PAC ID: 6709892078 Enrollment ID: O20061104000656 |
| Entity Name | Hanover Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457843302 PECOS PAC ID: 6709892078 Enrollment ID: O20190129002251 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler J Shriver, DO 205 S Hanover St, Hanover, KS 66945-8924 Ph: (785) 337-2214 | Tyler J Shriver, DO 205 S Hanover St, Hanover, KS 66945-8924 Ph: (785) 337-2214 |
Linda Duston Warren, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 S Hanover St, Hanover, KS 66945 Phone: 785-337-2214 Fax: 785-337-2727 | |
Roger Drury Warren, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 205 S Hanover St, Hanover, KS 66945 Phone: 785-337-2214 Fax: 785-337-2727 |