Tyler Robertson, in Green Bay, WI - Medicare Counselor Provider

Tyler Robertson, is a medicare enrolled "Counselor - Professional" provider in Green Bay, Wisconsin. His current practice location is 1039 W Mason St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 965-7707.

Tyler Robertson is licensed to practice in Wisconsin (license number 5914) 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 1194181891.

Contact Information

	Tyler Robertson,
	1039 W Mason St, Green Bay, WI 54303-1842
	(920) 965-7707
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Robertson
Gender	Male
Speciality	Counselor - Professional
Location	1039 W Mason St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194181891
Provider Enumeration Date: 01/11/2016
Last Update Date: 01/11/2016

Medicare PECOS Information:

PECOS PAC ID: 3274973862
Enrollment ID: I20240430001566

Medical Identifiers

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

Identifier	Type	State	Issuer
1194181891	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5914 (Wisconsin)	Primary

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 Robertson allows following entities to bill medicare on his behalf.

Entity Name	Foundations Health And Wholeness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497840607 PECOS PAC ID: 5597659631 Enrollment ID: O20040210001024

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 Robertson 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
Tyler Robertson, 3031 Bay View Dr, Green Bay, WI 54311-5907 Ph: () -	Tyler Robertson, 1039 W Mason St, Green Bay, WI 54303-1842 Ph: (920) 965-7707

Reviews and Comments

Counselor in Green Bay, WI

Louise Clara Daul, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Oakland Ave, Green Bay, WI 54303 Phone: 920-770-4088 Fax: 651-705-0026
Kristin Flannery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2920 S Webster Ave, Green Bay, WI 54301 Phone: 920-639-1914
Mr. John Barajas, LPC-IT, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 424 S Monroe Ave Ste 201, Green Bay, WI 54301 Phone: 920-445-0170 Fax: 920-445-0174
Robyn L Rickert, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E Walnut St, Suite 406, Green Bay, WI 54301 Phone: 920-884-1187 Fax: 920-227-4100
Joanne Marie Torres, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2640 West Point Road, Green Bay, WI 54304 Phone: 920-490-3790
Mr. Christopher Anthony Buckman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 920-498-0476
Jodi Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Verlin Rd Ste 203, Green Bay, WI 54311 Phone: 920-655-0859

Tyler Robertson, - Medicare Counselor in Green Bay, WI