Tyler Koerth, ATC is a
Emergency Medicine - Sports Medicine physician based in Delton, Michigan. Tyler Koerth is licensed to practice in Michigan (license number 2601001854) and his current practice location is 10425 Panther Pride, Delton, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 623-1520.
NPI number for Tyler Koerth is 1578089645 and his current mailing address is 4014 Ternwood Dr Apt 1a, Kalamazoo, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578089645.
Physician's Profile
Full Name | Tyler Koerth |
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Gender | Male |
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Speciality | Emergency Medicine - Sports Medicine |
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Location | 10425 Panther Pride, Delton, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578089645
- Provider Enumeration Date: 08/20/2017
- Last Update Date: 08/20/2017
Medical Identifiers
Medical identifiers for Tyler Koerth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578089645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PS0010X | Emergency Medicine - Sports Medicine | 2601001854 (Michigan) | 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 Koerth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tyler Koerth, ATC 4014 Ternwood Dr Apt 1a, Kalamazoo, MI 49048-6674 Ph: () - | Tyler Koerth, ATC 10425 Panther Pride, Delton, MI 49046-8825 Ph: (269) 623-1520 |
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