Tyler Hooton, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Saint Louis, Missouri. His current practice location is
1008 S Spring Ave, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 977-3400.
Tyler Hooton is licensed to practice in * (Not Available) (license number ) 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 1841828811.
Physician's Profile
Full Name | Tyler Hooton |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1008 S Spring Ave, Saint Louis, Missouri |
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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: 1841828811
- Provider Enumeration Date: 03/27/2020
- Last Update Date: 01/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406257526
- Enrollment ID: I20240515002621
Medical Identifiers
Medical identifiers for Tyler Hooton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841828811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 2023047873 (Missouri) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Hooton 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 Hooton, MD 1008 S Spring Ave, Saint Louis, MO 63110-2520 Ph: (208) 821-1141 | Tyler Hooton, MD 1008 S Spring Ave, Saint Louis, MO 63110-2520 Ph: (314) 977-3400 |
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