Tyler Lee Buzzard, is a
Student In An Organized Health Care Education/training Program based in Oshkosh, Wisconsin. Tyler Lee Buzzard is licensed to practice in * (Not Available) (license number ) and his current practice location is
800 Algoma Blvd, Oshkosh, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 424-1234.
NPI number for Tyler Lee Buzzard is 1699594887 and his current mailing address is 2962 Omro Rd, Oshkosh, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699594887.
Provider's Profile
| Full Name | Tyler Lee Buzzard |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 800 Algoma Blvd, Oshkosh, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699594887
- Provider Enumeration Date: 10/07/2024
- Last Update Date: 10/07/2024
Medical Identifiers
Medical identifiers for Tyler Lee Buzzard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699594887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 1104664 (Wisconsin) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Lee Buzzard 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 Lee Buzzard,
2962 Omro Rd,
Oshkosh, WI 54904-9301
Ph: (815) 980-3872 | Tyler Lee Buzzard,
800 Algoma Blvd,
Oshkosh, WI 54901-3551
Ph: (920) 424-1234 |
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