Tyler Wishau, - Medicare Podiatrist in Mount Vernon, IL

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Tyler Wishau, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Mount Vernon, Illinois. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Physician Services Corporation Of Southern Illinois Inc and 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.

Contact Information

Tyler Wishau,
2 Good Samaritan Way Ste 420,
Mount Vernon, IL 62864-2478
(618) 899-3900
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTyler Wishau
GenderMale
SpecialityPodiatry
Experience10 Years
Location2 Good Samaritan Way Ste 420, Mount Vernon, Illinois
Accepts Medicare AssignmentsYes. 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 graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1144649856
  • Provider Enumeration Date: 04/09/2014
  • Last Update Date: 02/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698047231
  • Enrollment ID: I20181031001161

Medical Identifiers

Medical identifiers for Tyler Wishau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144649856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 016005806 (Illinois)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 016005806 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health At Home Health-illinoisMount vernon, ILHome health agency
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Hamilton Memorial HospitalMcleansboro, ILHospital
Crossroads Community HospitalMount vernon, ILHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Services Corporation Of Southern Illinois Inc9234022567100

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. Tyler Wishau allows following entities to bill medicare on his behalf.
Provider NamePhysician Services Corporation Of Southern Illinois Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583

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 AddressPractice 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

Reviews and Comments


Podiatrist in Mount Vernon, IL

Page Foot And Ankle
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 209 Crossroads Pl, Suite 130, Mount Vernon, IL 62864
Phone: 314-241-9411    Fax: 618-241-9414
Thomas H. Nolen, D.p.m., P.c.
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1313 Main St, Mount Vernon, IL 62864
Phone: 618-242-8662    Fax: 618-242-4171

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.