Tyler Alec Simowitz, is a medicare enrolled "Physician Assistant" in Etters, Pennsylvania. His current practice location is
36 Robinhood Dr, Etters, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 388-7300.
Tyler Alec Simowitz is licensed to practice in Pennsylvania (license number MA063522) 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 1053997064.
Provider's Profile
| Full Name | Tyler Alec Simowitz |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 36 Robinhood Dr, Etters, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053997064
- Provider Enumeration Date: 03/20/2021
- Last Update Date: 10/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 9739577750
- Enrollment ID: I20220913000209
Medical Identifiers
Medical identifiers for Tyler Alec Simowitz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053997064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 25MP00646800 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | MA063522 (Pennsylvania) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
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 Alec Simowitz allows following entities to bill medicare on his behalf.
| Entity Name | Pinnacle Health Emergency Department Services, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487693404
PECOS PAC ID: 0143124701
Enrollment ID: O20031125000218 |
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| Entity Name | The Milton S Hershey Medical Center Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710951744
PECOS PAC ID: 3870405483
Enrollment ID: O20040225000741 |
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| Entity Name | Penn State Health Medical Group LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861988644
PECOS PAC ID: 8729351077
Enrollment ID: O20170907002279 |
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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 Alec Simowitz 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 Alec Simowitz,
601 Memory Ln,
York, PA 17402-2231
Ph: (717) 851-1405 | Tyler Alec Simowitz,
36 Robinhood Dr,
Etters, PA 17319-9528
Ph: (717) 388-7300 |
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