Dr Tyler Shane Reynolds, MD in Springfield, MO

Dr Tyler Shane Reynolds, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Springfield, Missouri. His current practice location is 3800 S National Ave Ste 600, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 875-3000.

Dr Tyler Shane Reynolds is licensed to practice in Florida (license number ME163370) 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 1376737874.

Contact Information

	Dr Tyler Shane Reynolds, MD
	3800 S National Ave Ste 600, Springfield, MO 65807-5249
	(417) 875-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tyler Shane Reynolds
Gender	Male
Speciality	Surgery - Surgical Critical Care
Location	3800 S National Ave Ste 600, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376737874
Provider Enumeration Date: 08/28/2007
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 6204977309
Enrollment ID: I20220613001650

Medical Identifiers

Medical identifiers for Dr Tyler Shane Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376737874	NPI	-	NPPES
200116135	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	2022007281 (Missouri)	Secondary
208600000X	Surgery	074569 (Georgia)	Secondary
2086S0102X	Surgery - Surgical Critical Care	ME163370 (Florida)	Primary
208600000X	Surgery	A101986 (California)	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 Shane Reynolds allows following entities to bill medicare on his behalf.

Entity Name	Vicksburg Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629084058 PECOS PAC ID: 4688575129 Enrollment ID: O20040213000299

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 Shane Reynolds 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 Shane Reynolds, MD Po Box 802843, Kansas City, MO 64180-2843 Ph: () -	Dr Tyler Shane Reynolds, MD 3800 S National Ave Ste 600, Springfield, MO 65807-5249 Ph: (417) 875-3000

Reviews and Comments

Surgery Doctors in Springfield, MO

Matthew E Simpson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 761 S Hickory Ter, Springfield, MO 65809 Phone: 417-894-6536
Zachary C Schmittling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Springfield, MO 65807 Phone: 417-875-3700 Fax: 417-875-3737
Dr. Robert M Cavagnol, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 100, Springfield, MO 65804 Phone: 417-820-3800 Fax: 417-820-3810
Timothy D Woods, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3245
Charles W Dunn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 S Delaware Ave, Springfield, MO 65804 Phone: 417-860-7743 Fax: 417-269-7567
James Gibson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3015 S Ridge Dr, Springfield, MO 65809 Phone: 417-887-2342
Dr. Dante Caleb-samuel Dali, DO, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3960

Dr Tyler Shane Reynolds, MD - Medicare Surgery in Springfield, MO