Tyler Marques Bauman, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Oak Creek, Wisconsin. He went to Saint Louis University School Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Affiliated Dermatologists Sc and his current practice location is
10050 S 27th St Ste 200, Oak Creek, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 754-4488.
Tyler Marques Bauman is licensed to practice in Wisconsin (license number 82390-20) 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 1174027882.
Physician's Profile
| Full Name | Tyler Marques Bauman |
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| Gender | Male |
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| Speciality | Micrographic Dermatologic Surgery (mds) |
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| Experience | 7 Years |
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| Location | 10050 S 27th St Ste 200, Oak Creek, Wisconsin |
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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 Marques Bauman attended and graduated from Saint Louis University School Of Medicine in 2018
NPI Data:
- NPI Number: 1174027882
- Provider Enumeration Date: 03/19/2018
- Last Update Date: 05/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668709734
- Enrollment ID: I20230724001065
Medical Identifiers
Medical identifiers for Tyler Marques Bauman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174027882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 82390-20 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Affiliated Dermatologists Sc | 8123065794 | 12 |
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 Marques Bauman allows following entities to bill medicare on his behalf.
| Entity Name | Affiliated Dermatologists Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407849011 PECOS PAC ID: 8123065794 Enrollment ID: O20050414000817 |
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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 Marques Bauman 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 Marques Bauman, MD N6032 Fiedler Rd, Albany, WI 53502-9580 Ph: (414) 369-2369 | Tyler Marques Bauman, MD 10050 S 27th St Ste 200, Oak Creek, WI 53154-5522 Ph: (262) 754-4488 |
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