Tyler Robert Brown, PHD in Oshkosh, WI - Medicare Psychologist Provider

Tyler Robert Brown, PHD is a medicare enrolled "Psychologist" provider in Oshkosh, Wisconsin. His current practice location is 414 Doctors Ct, Oshkosh, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 303-5100.

Tyler Robert Brown is licensed to practice in Wisconsin (license number 4026-057) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467129890.

Contact Information

	Tyler Robert Brown, PHD
	414 Doctors Ct, Oshkosh, WI 54901-2065
	(920) 303-5100
	(920) 303-5151

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Robert Brown
Gender	Male
Speciality	Psychologist
Location	414 Doctors Ct, Oshkosh, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467129890
Provider Enumeration Date: 08/24/2021
Last Update Date: 12/05/2022

Medicare PECOS Information:

PECOS PAC ID: 1759776487
Enrollment ID: I20220316001863

Medical Identifiers

Medical identifiers for Tyler Robert Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467129890	NPI	-	NPPES
100184112	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	4026-057 (Wisconsin)	Primary

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 Robert Brown allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Phoenix Behavioral Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871514778 PECOS PAC ID: 1456441153 Enrollment ID: O20071219000121

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 Robert Brown 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 Robert Brown, PHD 414 Doctors Ct, Oshkosh, WI 54901-2065 Ph: (920) 303-5100	Tyler Robert Brown, PHD 414 Doctors Ct, Oshkosh, WI 54901-2065 Ph: (920) 303-5100

Reviews and Comments

Psychologist in Oshkosh, WI

Gary Ankarlo, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 414 Doctors Ct, Oshkosh, WI 54901 Phone: 920-456-2030 Fax: 920-456-2025
Dr. Shelly Lynn Komondoros, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1855 S Koeller St, Oshkosh, WI 54902 Phone: 920-223-7350
Douglas Clyde Brey, LLP Psychologist Medicare: Medicare Enrolled Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4700 Fax: 920-236-1157
Stephanie Ross Potts, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 700 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-2030
Dr. Julie Marie Grieves, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1119 E Parkway Ave, Oshkosh, WI 54901 Phone: 701-740-1552
Dr. Louis William Topel, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Ave., Oshkosh, WI 54901 Phone: 920-236-4700 Fax: 715-732-7711
Michael Daehn Iv, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4600

Tyler Robert Brown, PHD - Medicare Psychologist in Oshkosh, WI