Tyler Wishau

Podiatrist | 10+ years Exp


  
2 Good Samaritan Way Ste 420, Mount Vernon
Illinois, 62864-2478

 618-899-3900   Maps & Directions
Tyler Wishau is a Mount Vernon, Illinois based male podiatrist with 10 years of experience in Podiatry. He completed his graduation in 2014. He is also affiliated with hospitals like Ssm Health - Good Samaritan Hospital and Ssm Health St Mary's Hospital -centralia. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Tyler Wishau for Podiatric Foot & Ankle Surgery is 016005806 in Illinois.
Tyler Wishau is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Tyler Wishau speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Podiatrist
Experience: 10+ years
Medical School Attended:Other
Graduation Year:2014
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:2 Good Samaritan Way Ste 420, Mount Vernon,
Illinois, 62864-2478
Phone:618-899-3900
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 5698047231
Enrollment ID: I20181031001161
NPI Number: 1144649856
NPI Enumeration Date: 09 Apr, 2014
NPI Last Update On: 22 Feb, 2022

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tyler Wishau are as mentioned below.
License NumberSpecializationStateStatus
016005806Podiatric Foot & Ankle Surgery IllinoisPrimary
016005806Podiatry IllinoisSecondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Ssm Health - Good Samaritan Hospital (140046)Mount vernon, ILAcute Care Hospital
Ssm Health St Mary's Hospital -centralia (140034)Centralia, ILAcute Care Hospital
Hamilton Memorial Hospital (141326)Mcleansboro, ILCritical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Tyler Wishau is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Physician Services Corporation Of Southern Illinois Inc (9234022567)106
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 955860,
Saint Louis, Missouri
Zip: 63195-2588
Phone Number: 636-498-5944
Fax Number: --
Patients can reach Tyler Wishau at 2 Good Samaritan Way Ste 420, Mount Vernon, Illinois or can call to book an appointment on 618-899-3900. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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