| Tyler Wellman, MD | |
|
1820 41st Ave Ste C, Capitola, CA 95010-2516 | |
| (831) 684-7611 | |
| (831) 477-2009 |
| Full Name | Tyler Wellman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 1820 41st Ave Ste C, Capitola, California |
| 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 |
|---|---|---|---|
| 1083146468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A1699735 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dominican Hospital | Santa cruz, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dignity Health Medical Foundation | 7810800661 | 1170 |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Wellman, MD 1820 41st Ave Ste C, Capitola, CA 95010-2516 Ph: (831) 684-7611 | Tyler Wellman, MD 1820 41st Ave Ste C, Capitola, CA 95010-2516 Ph: (831) 684-7611 |
Mr. Robert P. Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Mr. Kevin J Hasenauer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Daniel E Temple, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Mr. Gael F Decleve, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Tooba Khan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 | |
Mrs. Nancy L Greenstreet, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 |