Mrs Tyler Elizabeth Dick, PA-C is a medicare enrolled "Physician Assistant" in Clawson, Michigan. Her current practice location is
555 W 14 Mile Rd, Clawson, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 655-1400.
Mrs Tyler Elizabeth Dick is licensed to practice in Michigan (license number 5601009828) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902258585.
Provider's Profile
| Full Name | Mrs Tyler Elizabeth Dick |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 555 W 14 Mile Rd, Clawson, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902258585
- Provider Enumeration Date: 07/07/2016
- Last Update Date: 07/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638457385
- Enrollment ID: I20161031001792
Medical Identifiers
Medical identifiers for Mrs Tyler Elizabeth Dick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902258585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 5601009828 (Michigan) | 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. Mrs Tyler Elizabeth Dick 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 |
Mrs Tyler Elizabeth Dick, PA-C 995 Longspur Blvd, Lake Orion, MI 48360-2560 Ph: (248) 860-8353 | Mrs Tyler Elizabeth Dick, PA-C 555 W 14 Mile Rd, Clawson, MI 48017-3100 Ph: (248) 655-1400 |
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