Tyler Poublon, MD in Rochester, NY - Medicare Diagnostic Radiology

Tyler Poublon, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rochester, New York. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice South Shore Radiological Associates Inc and his current practice location is 601 Elmwood Ave, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 275-2734.

Tyler Poublon is licensed to practice in New York (license number 308884) 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 1386091320.

Contact Information

	Tyler Poublon, MD
	601 Elmwood Ave, Rochester, NY 14642-2306
	(585) 275-2734
	Not Available

Map and Direction

Physician's Profile

Full Name	Tyler Poublon
Gender	Male
Speciality	Diagnostic Radiology
Experience	8 Years
Location	601 Elmwood Ave, Rochester, New York
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 Poublon graduated from medical school in 2016

NPI Data:

NPI Number: 1386091320
Provider Enumeration Date: 05/19/2016
Last Update Date: 08/10/2021

Medicare PECOS Information:

PECOS PAC ID: 4587063292
Enrollment ID: I20220513000662

Medical Identifiers

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

Identifier	Type	State	Issuer
1386091320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	308884 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Shore Hospital	South weymouth, MA	Hospital
Brigham And Women's Hospital	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Shore Radiological Associates Inc	6507838810	32

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 Poublon allows following entities to bill medicare on his behalf.

Entity Name	South Shore Radiological Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518984319 PECOS PAC ID: 6507838810 Enrollment ID: O20040809000148

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 Poublon 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 Poublon, MD 601 Elmwood Ave Box 648, Rochester, NY 14642-0001 Ph: (585) 275-2734	Tyler Poublon, MD 601 Elmwood Ave, Rochester, NY 14642-2306 Ph: (585) 275-2734

Reviews and Comments

Radiology Doctors in Rochester, NY

Dr. Scott Ross Schiffman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box 648, Rochester, NY 14642 Phone: 585-275-1128 Fax: 585-273-3549
Ms. Sarah L Averill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2100
Mr. Jeffrey Caleb Haynes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1425 Portland Avenue, Rochester, NY 14621 Phone: 585-922-4031 Fax: 585-922-2971
Johan Blickman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2734 Fax: 585-273-1033
Dr. Matthew Daniel Diamond, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-4000
Dr. Benjamin Ernst Onderdonk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-4031 Fax: 585-922-2971
Bhupinder Hoonjan, Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2734

Tyler Poublon, MD - Medicare Diagnostic Radiology in Rochester, NY