| Tyler J Maag, FNP-BC | |
| 
					100 Progressive Dr, Columbus Grove, OH 45830-9620  | |
| (419) 659-6010 | |
| Not Available | 
| Full Name | Tyler J Maag | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 100 Progressive Dr, Columbus Grove, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104550565 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN.439039 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0032202 (Ohio) | Primary | 
| Entity Name | Mercy Health Physicians Lima, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225292865 PECOS PAC ID: 3375607351 Enrollment ID: O20090206000102  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tyler J Maag, FNP-BC 9288 Shaffer St, Findlay, OH 45840-0202 Ph: (419) 890-8840  | Tyler J Maag, FNP-BC 100 Progressive Dr, Columbus Grove, OH 45830-9620 Ph: (419) 659-6010  | 
Ms. Nicole Basinger, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10920 Road R, Columbus Grove, OH 45830 Phone: 419-604-9454  | |
James L Niese, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Progressive Dr, Columbus Grove, OH 45830 Phone: 419-659-6010 Fax: 419-659-6012  |