Tyler Roberts, PA-C - Medicare Physician Assistant in Lugoff, SC

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Tyler Roberts, PA-C is a medicare enrolled "Physician Assistant" in Lugoff, South Carolina. 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 South Carolina Ent Allergy And Sleep Medicine Pa and his current practice location is 15 Exchange Dr, Lugoff, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 670-8238.

Tyler Roberts is licensed to practice in * (Not Available) (license number ) 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 1164033353.

Contact Information

Tyler Roberts, PA-C
15 Exchange Dr,
Lugoff, SC 29078-9198
(803) 670-8238
Not Available

Map and Direction




Provider's Profile

Full NameTyler Roberts
GenderMale
SpecialityPhysician Assistant
Experience6 Years
Location15 Exchange Dr, Lugoff, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyler Roberts graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1164033353
  • Provider Enumeration Date: 08/12/2020
  • Last Update Date: 05/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365853298
  • Enrollment ID: I20230324002652

Medical Identifiers

Medical identifiers for Tyler Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164033353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 4796 (South Carolina)Secondary
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Musc Health Columbia Medical Center DowntownColumbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Carolina Ent Allergy And Sleep Medicine Pa084021474824

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 Roberts allows following entities to bill medicare on his behalf.
Entity NameSouth Carolina Ent Allergy & Sleep Medicine PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134153083
PECOS PAC ID: 0840214748
Enrollment ID: O20060118000755

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 Roberts 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 Roberts, PA-C
15 Exchange Dr,
Lugoff, SC 29078-9198

Ph: (803) 670-8238		Tyler Roberts, PA-C
15 Exchange Dr,
Lugoff, SC 29078-9198

Ph: (803) 670-8238

Reviews and Comments


Physician Assistant Nurses in Lugoff, SC

Jennifer H Carter, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 710 Dewitt Dr, Lugoff, SC 29078
Phone: 803-438-7566    Fax: 803-438-4371
Robert Kabakjian Sr., P.A.-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 15 Exchange Dr, Lugoff, SC 29078
Phone: 803-408-3277    Fax: 803-408-3277
Johnathan Mcmanus,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 426 Oakview Dr, Lugoff, SC 29078
Phone: 803-243-9178    

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.