Tyler Marques Bauman, MD is a medicare enrolled "Dermatology" physician in Oak Creek, Wisconsin. He went to Saint Louis University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Affiliated Dermatologists Sc and his current practice location is
10050 S 27th St Ste 200, Oak Creek, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 754-4488.
Tyler Marques Bauman is licensed to practice in Ohio (license number 35.144717) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174027882.
Physician's Profile
Full Name | Tyler Marques Bauman |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 6 Years |
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Location | 10050 S 27th St Ste 200, Oak Creek, Wisconsin |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tyler Marques Bauman attended and graduated from Saint Louis University School Of Medicine in 2018
NPI Data:
- NPI Number: 1174027882
- Provider Enumeration Date: 03/19/2018
- Last Update Date: 06/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668709734
- Enrollment ID: I20230724001065
Medical Identifiers
Medical identifiers for Tyler Marques Bauman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174027882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | DR.0070048 (Colorado) | Secondary |
207N00000X | Dermatology | 55530 (Kentucky) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207N00000X | Dermatology | 35.144717 (Ohio) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Affiliated Dermatologists Sc | 8123065794 | 14 |
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 Marques Bauman allows following entities to bill medicare on his behalf.
Entity Name | Affiliated Dermatologists Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407849011 PECOS PAC ID: 8123065794 Enrollment ID: O20050414000817 |
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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 Marques Bauman 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 Marques Bauman, MD N6032 Fiedler Rd, Albany, WI 53502-9580 Ph: (414) 369-2369 | Tyler Marques Bauman, MD 10050 S 27th St Ste 200, Oak Creek, WI 53154-5522 Ph: (262) 754-4488 |
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