Dr Tyler James Willenbrink, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Clairton, Pennsylvania. His current practice location is
575 Coal Valley Rd Ste 360, Clairton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(412) 466-9400.
Dr Tyler James Willenbrink is licensed to practice in Pennsylvania (license number MD473646) 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 1306367396.
Physician's Profile
Full Name | Dr Tyler James Willenbrink |
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Gender | Male |
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Speciality | Dermatology - Mohs-micrographic Surgery |
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Location | 575 Coal Valley Rd Ste 360, Clairton, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306367396
- Provider Enumeration Date: 06/29/2017
- Last Update Date: 06/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870867195
- Enrollment ID: I20220903000074
Medical Identifiers
Medical identifiers for Dr Tyler James Willenbrink such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306367396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | LL51189 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD473646 (Pennsylvania) | 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. Dr Tyler James Willenbrink allows following entities to bill medicare on his behalf.
Entity Name | Zitelli & Brodland Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184790099 PECOS PAC ID: 4284622978 Enrollment ID: O20040503000648 |
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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 James Willenbrink 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 Tyler James Willenbrink, MD 575 Coal Valley Rd Ste 360, Clairton, PA 15025-3739 Ph: () - | Dr Tyler James Willenbrink, MD 575 Coal Valley Rd Ste 360, Clairton, PA 15025-3739 Ph: (412) 466-9400 |
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