Tyler Wundrach, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Flint, Michigan. His current practice location is
1 Hurley Plz # 7b, Flint, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 262-9355.
Tyler Wundrach is licensed to practice in Michigan (license number 5601011785) 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 1033894910.
Physician's Profile
Full Name | Tyler Wundrach |
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Gender | Male |
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Speciality | Physician Assistant - Surgical |
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Location | 1 Hurley Plz # 7b, Flint, Michigan |
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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: 1033894910
- Provider Enumeration Date: 06/19/2023
- Last Update Date: 03/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496117459
- Enrollment ID: I20230808004025
Medical Identifiers
Medical identifiers for Tyler Wundrach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033894910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0127X | Surgery - Trauma Surgery | 5601011785 (Michigan) | Secondary |
363AS0400X | Physician Assistant - Surgical | 5601011785 (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 Wundrach 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 Wundrach, PA-C 48423 Montelepre Dr, Shelby Township, MI 48315-4153 Ph: (586) 553-2102 | Tyler Wundrach, PA-C 1 Hurley Plz # 7b, Flint, MI 48503-5902 Ph: (810) 262-9355 |
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