Tyler John Halstead, PA-C is a medicare enrolled "Physician Assistant" in Nitro, West Virginia. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Charleston Area Medical Center Inc and his current practice location is
4111 1st Ave Ste 3, Nitro, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 755-4797.
Tyler John Halstead is licensed to practice in West Virginia (license number 826) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730725151.
Provider's Profile
| Full Name | Tyler John Halstead |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 4111 1st Ave Ste 3, Nitro, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tyler John Halstead graduated from nursing school in 2020
NPI Data:
- NPI Number: 1730725151
- Provider Enumeration Date: 11/20/2019
- Last Update Date: 03/30/2026
Medicare PECOS Information:
- PECOS PAC ID: 5991116378
- Enrollment ID: I20201117001037
Medical Identifiers
Medical identifiers for Tyler John Halstead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730725151 | NPI | - | NPPES |
| 1730725151 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 826 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Charleston Area Medical Center Inc | 3375441637 | 969 |
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 John Halstead allows following entities to bill medicare on his behalf.
| Entity Name | Charleston Area Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426 |
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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 John Halstead 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 |
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Tyler John Halstead, PA-C
4111 1st Ave Ste 3,
Nitro, WV 25143-1345
Ph: (304) 755-4797 | Tyler John Halstead, PA-C
4111 1st Ave Ste 3,
Nitro, WV 25143-1345
Ph: (304) 755-4797 |
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