Tyler Joseph Smith, PA-C - Medicare Physician Assistant in Union Grove, WI

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Tyler Joseph Smith, PA-C is a medicare enrolled "Physician Assistant - Medical" in Union Grove, Wisconsin. His current practice location is 1120 Main St, Union Grove, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 878-4424.

Tyler Joseph Smith is licensed to practice in Wisconsin (license number 8089-23) 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 1295568723.

Contact Information

Tyler Joseph Smith, PA-C
1120 Main St,
Union Grove, WI 53182-1328
(262) 878-4424
Not Available

Map and Direction




Provider's Profile

Full NameTyler Joseph Smith
GenderMale
SpecialityPhysician Assistant - Medical
Location1120 Main St, Union Grove, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295568723
  • Provider Enumeration Date: 08/21/2024
  • Last Update Date: 08/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5597206938
  • Enrollment ID: I20240925001688

Medical Identifiers

Medical identifiers for Tyler Joseph Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295568723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 8089-23 (Wisconsin)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. Tyler Joseph Smith 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 AddressPractice Location Address
Tyler Joseph Smith, PA-C
1911 N Emmertsen Rd,
Mount Pleasant, WI 53406-2613

Ph: () -		Tyler Joseph Smith, PA-C
1120 Main St,
Union Grove, WI 53182-1328

Ph: (262) 878-4424

Reviews and Comments


Physician Assistant Nurses in Union Grove, WI

Amanda B Strom, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1120 Main St, Union Grove, WI 53182
Phone: 262-878-4424    
Mrs. Margaret E Baker, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1120 Main St, Union Grove, WI 53182
Phone: 262-878-4424    Fax: 262-631-8591

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.