Tyler Lebouef, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baton Rouge, Louisiana. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 2020 and has 4 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Red Stick Emergency Group Llc and his current practice location is
5246 Brittany Dr, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(225) 757-4142.
Tyler Lebouef is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134757909.
Physician's Profile
Full Name | Tyler Lebouef |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 4 Years |
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Location | 5246 Brittany Dr, Baton Rouge, Louisiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tyler Lebouef attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2020
NPI Data:
- NPI Number: 1134757909
- Provider Enumeration Date: 03/29/2020
- Last Update Date: 01/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264855741
- Enrollment ID: I20220817000422
Medical Identifiers
Medical identifiers for Tyler Lebouef such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134757909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 331068 (Louisiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Red Stick Emergency Group Llc | 2062583578 | 23 |
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 Lebouef allows following entities to bill medicare on his behalf.
Entity Name | Emergency Group Of St Landry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164491320 PECOS PAC ID: 0749237212 Enrollment ID: O20050406000828 |
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Entity Name | Red Stick Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275705998 PECOS PAC ID: 2062583578 Enrollment ID: O20080611000155 |
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Entity Name | Leatherwood Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760946313 PECOS PAC ID: 0749521250 Enrollment ID: O20190410002335 |
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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. Tyler Lebouef 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 Lebouef, 5246 Brittany Dr, Baton Rouge, LA 70808-9136 Ph: (225) 757-4142 | Tyler Lebouef, 5246 Brittany Dr, Baton Rouge, LA 70808-9136 Ph: (225) 757-4142 |
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