Dr Marlieke Van Tyn, MD - Medicare Pediatrics in Saint Paul, MN

Dr Marlieke Van Tyn, MD is a medicare enrolled "Pediatrics" physician in Saint Paul, Minnesota. Her current practice location is 233 Grand Ave, Pediatric And Young Adult Medicine, Pa, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 227-7806.

Dr Marlieke Van Tyn is licensed to practice in Minnesota (license number 42369) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487731527.

Contact Information

Dr Marlieke Van Tyn, MD
233 Grand Ave, Pediatric And Young Adult Medicine, Pa,
Saint Paul, MN 55102-2331
(651) 227-7806
(651) 256-6710

Map and Direction




Physician's Profile

Full NameDr Marlieke Van Tyn
GenderFemale
SpecialityPediatrics
Location233 Grand Ave, Saint Paul, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487731527
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 05/06/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1254320385
  • Enrollment ID: I20040512000383

Medical Identifiers

Medical identifiers for Dr Marlieke Van Tyn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487731527NPI-NPPES
086670900MedicaidMN
34134900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 42369 (Minnesota)Secondary
207PP0204XEmergency Medicine - Pediatric Emergency Medicine 42369 (Minnesota)Secondary
208000000XPediatrics 42369 (Minnesota)Primary
2080P0204XPediatrics - Pediatric Emergency Medicine 42369 (Minnesota)Secondary

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 Marlieke Van Tyn allows following entities to bill medicare on her behalf.
Entity NameHealtheast Woodwinds Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309322
PECOS PAC ID: 9638082563
Enrollment ID: O20031107000110
Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320
Entity NameEmergency Care Consultants Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669422788
PECOS PAC ID: 5496640161
Enrollment ID: O20040220000380
Entity NameChildren's Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932208808
PECOS PAC ID: 2668370966
Enrollment ID: O20040406000939

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 Marlieke Van Tyn 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
Dr Marlieke Van Tyn, MD
233 Grand Ave, Pediatric And Young Adult Medicine, Pa,
Saint Paul, MN 55102-2331

Ph: (651) 227-7806
Dr Marlieke Van Tyn, MD
233 Grand Ave, Pediatric And Young Adult Medicine, Pa,
Saint Paul, MN 55102-2331

Ph: (651) 227-7806

Reviews and Comments


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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.

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