Tyler David Stutzman, MD in Greensboro, NC

Tyler David Stutzman, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Greensboro, North Carolina. His current practice location is 1331 N Elm St Ste 200, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 274-6682.

Tyler David Stutzman is licensed to practice in North Carolina (license number 2023-00173) 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 1295220507.

Contact Information

	Tyler David Stutzman, MD
	1331 N Elm St Ste 200, Greensboro, NC 27401-6304
	(336) 274-6682
	(336) 274-8097

Map and Direction

Physician's Profile

Full Name	Tyler David Stutzman
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1331 N Elm St Ste 200, Greensboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295220507
Provider Enumeration Date: 06/28/2018
Last Update Date: 10/02/2025

Medicare PECOS Information:

PECOS PAC ID: 0749518413
Enrollment ID: I20230302001182

Medical Identifiers

Medical identifiers for Tyler David Stutzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295220507	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	2023-00173 (North Carolina)	Primary

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 David Stutzman allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868

Entity Name	Diagnostic Radiology & Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265469795 PECOS PAC ID: 4183517097 Enrollment ID: O20040204001013

Entity Name	Greensboro Radiology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20040422001214

Entity Name	Imrad Of Virginia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457816522 PECOS PAC ID: 2860726981 Enrollment ID: O20200928003184

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 David Stutzman 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 David Stutzman, MD Po Box 85378, Chicago, IL 60689-5378 Ph: (336) 274-6682	Tyler David Stutzman, MD 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 Ph: (336) 274-6682

Reviews and Comments

Radiology Doctors in Greensboro, NC

Melinda Ann Blietz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-6682 Fax: 336-274-8097
Raymond Charles Rubner Jr., M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 1331 N Elm St, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177
Darren Lee Transue, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-6682 Fax: 336-274-8097
Dr. David Sung Kwon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177
James Judd Green Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-6682 Fax: 336-274-8097
Dr. Paul Douglas Barry, MD Radiology Medicare: Medicare Enrolled Practice Location: 1331 North Elm Street, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177
Stacy Wentworth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 N. Elam Avenue, Greensboro, NC 27403 Phone: 336-832-1100

Tyler David Stutzman, MD - Medicare Radiology in Greensboro, NC