Tyler John Anderson, is a medicare enrolled "Ophthalmology" physician in Gloucester, Virginia. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Riverside Physician Services Inc and his current practice location is
7590 Hospital Dr Bldg C204, Gloucester, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 693-5560.
Tyler John Anderson is licensed to practice in Virginia (license number 0101268521) 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 1447612478.
Physician's Profile
Full Name | Tyler John Anderson |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 8 Years |
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Location | 7590 Hospital Dr Bldg C204, Gloucester, Virginia |
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Accepts Medicare Assignments | Yes. 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 John Anderson graduated from medical school in 2016
NPI Data:
- NPI Number: 1447612478
- Provider Enumeration Date: 03/29/2016
- Last Update Date: 06/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 8022380476
- Enrollment ID: I20200804002931
Medical Identifiers
Medical identifiers for Tyler John Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447612478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | R4000 (Kentucky) | Secondary |
207W00000X | Ophthalmology | 0101268521 (Virginia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Riverside Physician Services Inc | 5092608448 | 743 |
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 John Anderson allows following entities to bill medicare on his behalf.
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
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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 John Anderson 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 John Anderson, 856 J Clyde Morris Blvd Ste A, Newport News, VA 23601-1318 Ph: (757) 316-5800 | Tyler John Anderson, 7590 Hospital Dr Bldg C204, Gloucester, VA 23061-4178 Ph: (804) 693-5560 |
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