| Tyler James Popil, PA-C | |
|
36100 Euclid Ave Ste 240, Willoughby, OH 44094-4427 | |
| (440) 953-6294 | |
| (440) 918-4687 |
| Full Name | Tyler James Popil |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 36100 Euclid Ave Ste 240, Willoughby, Ohio |
| 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 |
|---|---|---|---|
| 1235638263 | NPI | - | NPPES |
| 0265766 | Other | OH | NCCPA |
| 50.005472RX | Other | OH | OHIO ELICENSURE OHIO PROFESSIONAL LICENSURE |
| 0265766 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Mentor, OH | Home health agency |
| University Hospital Home Care Services, Inc | Warrensville hts, OH | Home health agency |
| Lake Health | Concord, OH | Hospital |
| Uh Cleveland Medical Center | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Hospital System, Inc. | 6002713922 | 92 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Lake Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
| Entity Name | University Hospitals Regional Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336602218 PECOS PAC ID: 3779818638 Enrollment ID: O20190715001865 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler James Popil, PA-C 36100 Euclid Ave Ste 240, Willoughby, OH 44094-4427 Ph: (440) 953-6294 | Tyler James Popil, PA-C 36100 Euclid Ave Ste 240, Willoughby, OH 44094-4427 Ph: (440) 953-6294 |
Mrs. Bonnie Lynn Broida, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6240 |
George Livingston, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 |
Mr. Mark E. Holtcamp, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2785 Som Center Rd, Willoughby, OH 44094 Phone: 440-975-5575 Fax: 440-944-0920 |
Makayla Hudy, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-9600 |
Mrs. Joanne T Longbons, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36100 Euclid Avenue, Suite 170, Willoughby, OH 44094 Phone: 440-602-6737 Fax: 440-942-0316 |
Sydney Wills Mcgiffin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5105 Som Center Rd Ste 107, Willoughby, OH 44094 Phone: 440-655-8389 |
Schickri Aina, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 |