Dr Tyler Brendan Draeger, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Warwick, Rhode Island. His current practice location is
455 Toll Gate Rd, Warwick, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 736-1092.
Dr Tyler Brendan Draeger is licensed to practice in Massachusetts (license number 292835) 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 1184074098.
Physician's Profile
| Full Name | Dr Tyler Brendan Draeger |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 455 Toll Gate Rd, Warwick, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184074098
- Provider Enumeration Date: 06/21/2016
- Last Update Date: 12/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092065771
- Enrollment ID: I20230922001001
Medical Identifiers
Medical identifiers for Dr Tyler Brendan Draeger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184074098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 292835 (Massachusetts) | Primary |
| 208600000X | Surgery | A160740 (California) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD19384 (Rhode Island) | 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 Tyler Brendan Draeger allows following entities to bill medicare on his behalf.
| Entity Name | Brigham & Womens Physicians Organization Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260 |
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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 Tyler Brendan Draeger 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 |
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Dr Tyler Brendan Draeger, MD
75 Francis St, Division Of Thoracic Surgery,
Boston, MA 02115-6106
Ph: (617) 525-6757 | Dr Tyler Brendan Draeger, MD
455 Toll Gate Rd,
Warwick, RI 02886-2759
Ph: (401) 736-1092 |
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