Tyler James Gouge, MD in Saint Louis, MO - Medicare Family Medicine

Tyler James Gouge, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Saint Louis, Missouri. His current practice location is 701 S New Ballas Rd Ste 510, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 251-6710.

Tyler James Gouge is licensed to practice in Missouri (license number 2020020734) 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 1275062432.

Contact Information

	Tyler James Gouge, MD
	701 S New Ballas Rd Ste 510, Saint Louis, MO 63141-8726
	(314) 251-6710
	(314) 251-6712

Map and Direction

Physician's Profile

Full Name	Tyler James Gouge
Gender	Male
Speciality	Family Medicine - Sports Medicine
Location	701 S New Ballas Rd Ste 510, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275062432
Provider Enumeration Date: 06/09/2017
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2961771985
Enrollment ID: I20210914003662

Medical Identifiers

Medical identifiers for Tyler James Gouge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275062432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	2020020734 (Missouri)	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 James Gouge allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006

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 James Gouge 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 James Gouge, MD 331 Hospital Dr Ste A, Lebanon, MO 65536-9251 Ph: (417) 533-6560	Tyler James Gouge, MD 701 S New Ballas Rd Ste 510, Saint Louis, MO 63141-8726 Ph: (314) 251-6710

Reviews and Comments

Family Medicine Doctors in Saint Louis, MO

Alexander Keenan Holbrook, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2345 Dougherty Ferry Rd, Saint Louis, MO 63122 Phone: 314-966-9100
Mrs. Jetuan L Rowley-herron, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010
Amy Elizabeth Roberts, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8888 Ladue Rd Ste 210, Saint Louis, MO 63124 Phone: 314-996-5900 Fax: 314-995-5910
Christopher Brian Espana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5034 Griffin Rd, Saint Louis, MO 63128 Phone: 314-843-7333 Fax: 314-843-9946
Mrs. Teresita Agustin Cometa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-6326
Dr. Michael T Railey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139 Phone: 314-768-3685 Fax: 314-768-3940
Dr. Alan Valente A Padua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13303 Tesson Ferry Rd Ste 100, Saint Louis, MO 63128 Phone: 314-722-4741 Fax: 314-722-4731

Tyler James Gouge, MD - Medicare Family Medicine in Saint Louis, MO