Tyler Robert Blackwell, MD - Medicare Student in an Organized Health Care Education/Training Program in Kansas City, MO

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Tyler Robert Blackwell, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kansas City, Missouri. His current practice location is 2301 Holmes St, Kansas City, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 404-1000.

Tyler Robert Blackwell 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 1346980075.

Contact Information

Tyler Robert Blackwell, MD
2301 Holmes St,
Kansas City, MO 64108-2640
(816) 404-1000
Not Available

Map and Direction




Physician's Profile

Full NameTyler Robert Blackwell
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location2301 Holmes St, Kansas City, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346980075
  • Provider Enumeration Date: 03/30/2022
  • Last Update Date: 05/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8729468673
  • Enrollment ID: I20220708002520

Medical Identifiers

Medical identifiers for Tyler Robert Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346980075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2024024850 (Missouri)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

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 Robert Blackwell 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 AddressPractice Location Address
Tyler Robert Blackwell, MD
2509 W 45th Ave,
Kansas City, KS 66103-3405

Ph: (702) 592-5932		Tyler Robert Blackwell, MD
2301 Holmes St,
Kansas City, MO 64108-2640

Ph: (816) 404-1000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.