Dr Tyler J Prouty, MD - Medicare Obstetrics/gynecology in Bridgeport, WV

Dr Tyler J Prouty, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Bridgeport, West Virginia. He went to West Virginia University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice West Virginia University Medical Corporation and his current practice location is 527 Medical Park Dr Ste 205, Bridgeport, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 933-3800.

Dr Tyler J Prouty is licensed to practice in West Virginia (license number 22435) 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 1225247877.

Contact Information

Dr Tyler J Prouty, MD
527 Medical Park Dr Ste 205,
Bridgeport, WV 26330-9009
(304) 933-3800
(304) 933-3815



Physician's Profile

Full NameDr Tyler J Prouty
GenderMale
SpecialityObstetrics/gynecology
Experience21 Years
Location527 Medical Park Dr Ste 205, Bridgeport, West Virginia
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:
  • Dr Tyler J Prouty attended and graduated from West Virginia University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1225247877
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 04/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8325149248
  • Enrollment ID: I20070723000465

Medical Identifiers

Medical identifiers for Dr Tyler J Prouty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225247877NPI-NPPES
3810009618MedicaidWV
22435OtherWVWV LICENSE
4211642OtherWVMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 22435 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Virginia University HospitalsMorgantown, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Virginia University Medical Corporation10522245651613

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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 J Prouty allows following entities to bill medicare on his behalf.
Entity NameWest Virginia University Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207

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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 J Prouty 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
Dr Tyler J Prouty, MD
527 Medical Park Dr Ste 204,
Bridgeport, WV 26330-9009

Ph: (304) 933-3800
Dr Tyler J Prouty, MD
527 Medical Park Dr Ste 205,
Bridgeport, WV 26330-9009

Ph: (304) 933-3800

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Obstetrics & Gynecology Doctors in Bridgeport, WV

Dr. Julie K. Mccammon, M.D
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 527 Medical Park Dr, Suite 104, Bridgeport, WV 26330
Phone: 304-933-3868    Fax: 304-933-3870
Dr. Wanda M Hembree, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 527 Medical Park Dr, Suite 108, Bridgeport, WV 26330
Phone: 304-848-2150    
Dr. Richard Wade King, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 527 Medical Park Dr, Suite 205, Bridgeport, WV 26330
Phone: 304-842-0804    Fax: 304-842-0806
Kirstie Cutlip, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 527 Medical Park Dr Ste 108, Bridgeport, WV 26330
Phone: 304-848-2150    Fax: 304-848-2153
Dr. Matthew Jason Honaker, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 902 Lodgeville Rd, Bridgeport, WV 26330
Phone: 304-842-0801    

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