Tyler Wishau, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Mount Vernon, Illinois. His current practice location is
2 Good Samaritan Way Ste 420, Mount Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 899-3900.
Tyler Wishau is licensed to practice in Illinois (license number 016005806) 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 1144649856.
Healthcare Provider's Profile
Full Name | Tyler Wishau |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2 Good Samaritan Way Ste 420, Mount Vernon, Illinois |
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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. |
Medical Education and Training:
- Tyler Wishau attended and graduated from in
NPI Data:
- NPI Number: 1144649856
- Provider Enumeration Date: 04/09/2014
- Last Update Date: 02/22/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tyler Wishau such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144649856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 016005806 (Illinois) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016005806 (Illinois) | 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 Wishau 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 Wishau, Po Box 955860, Saint Louis, MO 63195-2588 Ph: (636) 498-5944 | Tyler Wishau, 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 Ph: (618) 899-3900 |
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