Tyler Ernest Patrick, DO is a medicare enrolled "Otolaryngology" physician in Ellsworth, Maine. His current practice location is
50 Union Street, Ellsworth, Maine. You can reach out to his office (for appointments etc.) via phone at
(072) 664-5658.
Tyler Ernest Patrick is licensed to practice in Maine (license number DO3615) 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 1932600145.
Physician's Profile
| Full Name | Tyler Ernest Patrick |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 50 Union Street, Ellsworth, Maine |
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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: 1932600145
- Provider Enumeration Date: 02/22/2018
- Last Update Date: 06/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224393020
- Enrollment ID: I20230804003152
Medical Identifiers
Medical identifiers for Tyler Ernest Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932600145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | DO3615 (Maine) | 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. Tyler Ernest Patrick allows following entities to bill medicare on his behalf.
| Entity Name | Maine Coast Regional Health Facilities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740249739
PECOS PAC ID: 1052208113
Enrollment ID: O20040804001405 |
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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. Tyler Ernest Patrick 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 Ernest Patrick, DO
1170 Shore Road,
Lamoine, ME 04605
Ph: (603) 978-6076 | Tyler Ernest Patrick, DO
50 Union Street,
Ellsworth, ME 04605-2119
Ph: (072) 664-5658 |
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