| Tyler Wayne Wheeler, MD | |
|
775 Pole Line Rd W Ste 212, Twin Falls, ID 83301-5820 | |
| (208) 814-8400 | |
| (208) 734-3045 |
| Full Name | Tyler Wayne Wheeler |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 6 Years |
| Location | 775 Pole Line Rd W Ste 212, 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 |
|---|---|---|---|
| 1972124121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 1571057 (Idaho) | Primary |
| 208600000X | Surgery | R78076 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Minidoka Memorial Hospital | Rupert, ID | Hospital |
| St Luke's Magic Valley Rmc | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minidoka Memorial Hospital | 7315908894 | 38 |
| St Lukes Clinic Llc | 1052217478 | 313 |
| 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 | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20061104000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Wayne Wheeler, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: Not Available | Tyler Wayne Wheeler, MD 775 Pole Line Rd W Ste 212, Twin Falls, ID 83301-5820 Ph: (208) 814-8400 |
Elliot Mcnamara Adams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 213, Twin Falls, ID 83301 Phone: 208-814-8475 |
Dr. Ronald William Blair, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 |
Stephen E Schmid, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 630 Addison Ave W, Twin Falls, ID 83301 Phone: 208-736-8735 Fax: 208-736-5999 |
Mr. Donald Paul Workman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 496 D Shoup Ave W, Twin Falls, ID 83301 Phone: 208-734-1614 Fax: 208-733-6530 |
Bruce C Mccomas, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 |
Dr. Jarom F Lamb, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 |
Dr. Michael Cameron Sweeney, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 Fax: 208-933-4914 |