Tyler Anthony Vitus, PA-C is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Waynesboro, Mississippi. His current practice location is
950 Matthew Dr, Waynesboro, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 735-5500.
Tyler Anthony Vitus is licensed to practice in Mississippi (license number PA00778) 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 1174386841.
Physician's Profile
Full Name | Tyler Anthony Vitus |
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Gender | Male |
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Speciality | Emergency Medicine - Emergency Medical Services |
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Location | 950 Matthew Dr, Waynesboro, Mississippi |
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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: 1174386841
- Provider Enumeration Date: 02/05/2024
- Last Update Date: 02/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375989452
- Enrollment ID: I20240312000479
Medical Identifiers
Medical identifiers for Tyler Anthony Vitus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174386841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | PA00778 (Mississippi) | Primary |
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. Tyler Anthony Vitus 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 |
Tyler Anthony Vitus, PA-C 79 Planted Pine Dr, Purvis, MS 39475-5518 Ph: (330) 717-1736 | Tyler Anthony Vitus, PA-C 950 Matthew Dr, Waynesboro, MS 39367-2567 Ph: (601) 735-5500 |
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