Dr Tyler Grout, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lebanon, Missouri. His current practice location is
120 Hospital Dr, Ste 100, Lebanon, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 533-6751.
Dr Tyler Grout is licensed to practice in Missouri (license number 2011018602) 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 1851555312.
Healthcare Provider's Profile
| Full Name | Dr Tyler Grout |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 120 Hospital Dr, Lebanon, Missouri |
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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. |
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Medical Education and Training:
- Dr Tyler Grout attended and graduated from in
NPI Data:
- NPI Number: 1851555312
- Provider Enumeration Date: 07/14/2008
- Last Update Date: 10/02/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Tyler Grout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851555312 | NPI | - | NPPES |
| P01159451 | Other | MO | RR MCR |
| 431560263 | Other | MO | TRICARE |
| 1851555312 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2011018602 (Missouri) | 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. Dr Tyler Grout 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 |
|---|
Dr Tyler Grout, DPM
Po Box 505164,
Saint Louis, MO 63150-5164
Ph: (417) 829-4620 | Dr Tyler Grout, DPM
120 Hospital Dr, Ste 100,
Lebanon, MO 65536-9238
Ph: (417) 533-6751 |
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