Dr Tyler Doersam, OD in Saint Charles, IL - Medicare Optometry Provider

Dr Tyler Doersam, OD is a medicare enrolled "Optometrist" provider in Saint Charles, Illinois. He went to Pennsylvania College Of Optometry and graduated in 2014 and has 10 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Lifetime Vision And Contact Lens Center Ltd and his current practice location is 118 Lakeside Dr, Apt 434, Saint Charles, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 821-3088.

Dr Tyler Doersam is licensed to practice in Illinois (license number 046010839) 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 1417365123.

Contact Information

	Dr Tyler Doersam, OD
	118 Lakeside Dr, Apt 434, Saint Charles, IL 60174-7905
	(815) 821-3088
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tyler Doersam
Gender	Male
Speciality	Optometry
Experience	10 Years
Location	118 Lakeside Dr, Saint Charles, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tyler Doersam attended and graduated from Pennsylvania College Of Optometry in 2014

NPI Data:

NPI Number: 1417365123
Provider Enumeration Date: 07/25/2014
Last Update Date: 03/11/2016

Medicare PECOS Information:

PECOS PAC ID: 8022300888
Enrollment ID: I20160714001690

Medical Identifiers

Medical identifiers for Dr Tyler Doersam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417365123	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046010839 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifetime Vision And Contact Lens Center Ltd	1557421757	3

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. Dr Tyler Doersam allows following entities to bill medicare on his behalf.

Provider Name	Lifetime Vision & Contact Lens Center Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679625966 PECOS PAC ID: 1557421757 Enrollment ID: O20081118000431

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. Dr Tyler Doersam 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
Dr Tyler Doersam, OD 20505 Rand Rd, Ste 500, Kildeer, IL 60047-3004 Ph: () -	Dr Tyler Doersam, OD 118 Lakeside Dr, Apt 434, Saint Charles, IL 60174-7905 Ph: (815) 821-3088

Reviews and Comments

Optometrist in Saint Charles, IL

Dr. Douglas Aaron Yuvan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 E Main St, #c, Saint Charles, IL 60174 Phone: 630-584-1111 Fax: 630-584-1239
Tyler Ridge Vision Care, Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 1001 E Main St, #c, Saint Charles, IL 60174 Phone: 630-584-1111 Fax: 630-584-1239
Dr. Mark W. Kramer, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 E Main St, Suite C, Saint Charles, IL 60174 Phone: 630-584-1111 Fax: 630-584-1239

Dr Tyler Doersam, OD - Medicare Optometrist in Saint Charles, IL