| Dr Tyler J Stephenson, MD | |
|
700 N Huser St, Syracuse, KS 67878-7700 | |
| (620) 384-7461 | |
| (620) 384-5500 |
| Full Name | Dr Tyler J Stephenson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 700 N Huser St, Syracuse, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013438787 | NPI | - | NPPES |
| 470553011-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0441882 (Kansas) | Primary |
| Entity Name | Hamilton County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477581296 PECOS PAC ID: 3072426121 Enrollment ID: O20031106000199 |
| Entity Name | Hamilton County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1932136074 PECOS PAC ID: 3072426121 Enrollment ID: O20061104000340 |
| Entity Name | Ukhs Great Bend Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962997197 PECOS PAC ID: 5597016378 Enrollment ID: O20180918000770 |
| Entity Name | Morris County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295217305 PECOS PAC ID: 8426096504 Enrollment ID: O20181121000648 |
| Entity Name | Eastern Kansas Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003561598 PECOS PAC ID: 3971990284 Enrollment ID: O20220504002305 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler J Stephenson, MD 700 N Huser St, Syracuse, KS 67878-7700 Ph: (620) 384-7461 | Dr Tyler J Stephenson, MD 700 N Huser St, Syracuse, KS 67878-7700 Ph: (620) 384-7461 |