Dr Tyler Grout, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lebanon, Missouri. He went to College Of Podiatric Med And Surgery, Des Moines University and graduated in 2008 and has 16 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Mercy Clinic Springfield Communities and 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 | Podiatry |
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| Experience | 16 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 College Of Podiatric Med And Surgery, Des Moines University in 2008
NPI Data:
- NPI Number: 1851555312
- Provider Enumeration Date: 07/14/2008
- Last Update Date: 10/02/2014
Medicare PECOS Information:
- PECOS PAC ID: 1759569635
- Enrollment ID: I20130219000425
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 |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2011018602 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Clinic Springfield Communities | 7416865845 | 933 |
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. Dr Tyler Grout allows following entities to bill medicare on his behalf.
| Provider Name | Mercy Clinic Springfield Communities |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060 |
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| Provider Name | Mercy Clinic Springfield Communities |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354 |
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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. 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 |
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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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