Dr Mike O Tyler Jr, MD, is a medicare enrolled "Neurological Surgery" physician in Ladson, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1976 and has 49 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Seaside Spine Specialists Llc and his current practice location is
9565 Highway 78 Bldg 100, Ladson, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 553-7615.
Dr Mike O Tyler Jr is licensed to practice in South Carolina (license number 8587) 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 1750348371.
Physician's Profile
Full Name | Dr Mike O Tyler Jr |
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Gender | Male |
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Speciality | Neurosurgery |
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Experience | 49 Years |
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Location | 9565 Highway 78 Bldg 100, Ladson, South Carolina |
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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 Mike O Tyler Jr attended and graduated from Medical University Of South Carolina College Of Medicine in 1976
NPI Data:
- NPI Number: 1750348371
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 07/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567421829
- Enrollment ID: I20041004000772
Medical Identifiers
Medical identifiers for Dr Mike O Tyler Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750348371 | NPI | - | NPPES |
085874 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 8587 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Seaside Spine Specialists Llc | 8921485277 | 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 Mike O Tyler Jr allows following entities to bill medicare on his behalf.
Entity Name | Southern Coast Specialists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386148617 PECOS PAC ID: 9234484577 Enrollment ID: O20180611000373 |
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Entity Name | Seaside Spine Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588316046 PECOS PAC ID: 8921485277 Enrollment ID: O20220506001750 |
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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 Mike O Tyler Jr 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 Mike O Tyler Jr, MD, 9565 Highway 78 Bldg 100, Ladson, SC 29456-4118 Ph: (843) 553-7615 | Dr Mike O Tyler Jr, MD, 9565 Highway 78 Bldg 100, Ladson, SC 29456-4118 Ph: (843) 553-7615 |
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