| Tyler Martin, | |
|
2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | |
| (843) 402-1037 | |
| (843) 402-1295 |
| Full Name | Tyler Martin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 2095 Henry Tecklenburg Dr, Charleston, South Carolina |
| 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 |
|---|---|---|---|
| 1649524455 | NPI | - | NPPES |
| 1901PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1868 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medcare Express - North Charleston Llc | 7618074899 | 69 |
| Charleston Carenow Urgent Care Llc | 3274893359 | 72 |
| Entity Name | Roper Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104983055 PECOS PAC ID: 8426958919 Enrollment ID: O20040114000413 |
| Entity Name | Bon Secours St Francis Xavier Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770867442 PECOS PAC ID: 8325008717 Enrollment ID: O20041011000439 |
| Entity Name | Medcare Express - North Charleston LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457579617 PECOS PAC ID: 7618074899 Enrollment ID: O20070523000200 |
| Entity Name | Roper St. Francis Mount Pleasant Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629499298 PECOS PAC ID: 1658567326 Enrollment ID: O20110207000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Martin, Po Box 602645, Charlotte, NC 28260-2645 Ph: (843) 789-1620 | Tyler Martin, 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 Ph: (843) 402-1037 |
Christian Anton Sung, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-720-8490 |
Amy Lynn Canino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-402-1638 Fax: 843-724-2455 |
Elizabeth Poindexter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Maria Dahl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2225 Ashley River Rd Apt 378, Charleston, SC 29414 Phone: 704-661-4464 |
Matthew K Ewald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Meredith Barb Bauerband, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2180 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 865-647-5800 Fax: 865-647-5979 |
Jessica Marie Richgels, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1327 Ashley River Rd Ste B, Charleston, SC 29407 Phone: 843-577-4551 |