| Tyler R Wayment, MD | |
|
738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | |
| (208) 814-7000 | |
| (208) 734-7294 |
| Full Name | Tyler R Wayment |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 26 Years |
| Location | 738 N College Rd, Twin Falls, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669423539 | NPI | - | NPPES |
| 807460000 | Medicaid | ID | |
| P00721156 | Other | ID | MCRR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | M9557 (Idaho) | Primary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | M9557 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Cassia Regional Hospital | Burley, ID | Hospital |
| St Luke's Jerome | Jerome, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sciuridae Boyz Pllc | 4880043678 | 17 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | Sciuridae Boyz Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780366195 PECOS PAC ID: 4880043678 Enrollment ID: O20231205002124 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler R Wayment, MD Po Box 587, Twin Falls, ID 83303-0587 Ph: (208) 814-7400 | Tyler R Wayment, MD 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 Ph: (208) 814-7000 |
Dr. Dell P Smith, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1880 Fillmore St, Twin Falls, ID 83301 Phone: 208-735-8386 Fax: 208-735-0434 |