Dr Tatyana Humphreys, MD in Wynnewood, PA - Medicare Micrographic Dermatologic Surgery (mds)

Dr Tatyana Humphreys, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Wynnewood, Pennsylvania. She went to Perelman School Of Med At The University Of Pennsylvania and graduated in 1990 and has 34 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). She is a member of the group practice John K. Wildemore, Md, Llc and her current practice location is 306 Gypsy Ln, Wynnewood, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 343-8751.

Dr Tatyana Humphreys is licensed to practice in Pennsylvania (license number MD047761L) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184645731.

Contact Information

	Dr Tatyana Humphreys, MD
	306 Gypsy Ln, Wynnewood, PA 19096-1103
	(484) 343-8751
	(610) 572-7262

Map and Direction

Physician's Profile

Full Name	Dr Tatyana Humphreys
Gender	Female
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	34 Years
Location	306 Gypsy Ln, Wynnewood, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tatyana Humphreys attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 1990

NPI Data:

NPI Number: 1184645731
Provider Enumeration Date: 07/21/2006
Last Update Date: 09/29/2020

Medicare PECOS Information:

PECOS PAC ID: 0840257507
Enrollment ID: I20041214000676

Medical Identifiers

Medical identifiers for Dr Tatyana Humphreys such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184645731	NPI	-	NPPES
7582706	Medicaid	NJ
0016592	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD047761L (Pennsylvania)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	MD047761L (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
John K. Wildemore, Md, Llc	5698775104	4

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 Tatyana Humphreys allows following entities to bill medicare on her behalf.

Entity Name	Main Line Dermatology, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497787246 PECOS PAC ID: 8527051523 Enrollment ID: O20040406000587

Entity Name	John K. Wildemore, Md, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376632257 PECOS PAC ID: 5698775104 Enrollment ID: O20070108000169

Entity Name	Main Line Center For Skin Surgery Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346443496 PECOS PAC ID: 5597856211 Enrollment ID: O20070810000024

Entity Name	Sylvan Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275151458 PECOS PAC ID: 2961826003 Enrollment ID: O20200722000136

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 Tatyana Humphreys 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 Tatyana Humphreys, MD 306 Gypsy Ln, Wynnewood, PA 19096-1103 Ph: (484) 343-8751	Dr Tatyana Humphreys, MD 306 Gypsy Ln, Wynnewood, PA 19096-1103 Ph: (484) 343-8751

Reviews and Comments

Dermatology Doctors in Wynnewood, PA

Susan D Gisser, MD Dermatology Medicare: Medicare Enrolled Practice Location: 515 Redleaf Rd, Wynnewood, PA 19096 Phone: 610-896-4499
Dr. Michele J Ziskind, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Lankenau Med Office Bldg East, Suite 456, Wynnewood, PA 19096 Phone: 610-649-8541
Dr. Erin Victoria Santa, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-2551
Dr. Matthew Evan Halpern, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-642-1090 Fax: 610-658-5861
Caroline Groft Macfarlane, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 259 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-642-1090 Fax: 610-658-5861
Joshua Schimmel, Dermatology Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-2000

Dr Tatyana Humphreys, MD - Medicare Micrographic Dermatologic Surgery (mds) in Wynnewood, PA