Tyler J Van De Voort, MD - Medicare Surgery in Green Bay, WI

Tyler J Van De Voort, MD is a medicare enrolled "Surgery" physician in Green Bay, Wisconsin. His current practice location is 835 S Van Buren St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-0111.

Tyler J Van De Voort is licensed to practice in Wisconsin (license number 81984-20) 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 1326568270.

Contact Information

Tyler J Van De Voort, MD
835 S Van Buren St,
Green Bay, WI 54301-3526
(920) 433-0111
Not Available



Physician's Profile

Full NameTyler J Van De Voort
GenderMale
SpecialitySurgery
Location835 S Van Buren St, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326568270
  • Provider Enumeration Date: 06/21/2017
  • Last Update Date: 01/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163789348
  • Enrollment ID: I20230920001420

Medical Identifiers

Medical identifiers for Tyler J Van De Voort such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326568270NPI-NPPES
100250432MedicaidWI
81984-20OtherWIWISCONSIN MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 81984-20 (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 J Van De Voort allows following entities to bill medicare on his behalf.
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172

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Entity NameSt Clare Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851477913
PECOS PAC ID: 0446211395
Enrollment ID: O20041023000037

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Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423

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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. Tyler J Van De Voort 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 J Van De Voort, MD
835 S Van Buren St,
Green Bay, WI 54301-3575

Ph: (920) 433-0111
Tyler J Van De Voort, MD
835 S Van Buren St,
Green Bay, WI 54301-3526

Ph: (920) 433-0111

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Surgery Doctors in Green Bay, WI

Edgar (ted) King Collison Iv, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1715 Dousman St, Green Bay, WI 54303
Phone: 920-496-4700    
Dr. Peter V Gapinski, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2845 Greenbrier Rd, #120, Green Bay, WI 54308
Phone: 920-288-8100    
Dr. Teresa A Gonzaga, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2605 Development Dr, Green Bay, WI 54311
Phone: 920-288-8240    Fax: 920-857-1488
Benjamin Andrew, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1860 Shawano Ave, Green Bay, WI 54303
Phone: 920-496-4700    
Carrie Ann Thoms, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1821 S Webster Ave, Green Bay, WI 54301
Phone: 920-496-4700    Fax: 920-436-1379
Daniel Williams, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1726 Shawano Ave, Green Bay, WI 54303
Phone: 920-496-4700    
Karri Adamson, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2605 Development Dr, Green Bay, WI 54311
Phone: 920-288-8240    

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