Tyler Patrick Johnson, is a
Case Manager/care Coordinator based in Pendleton, Oregon. Tyler Patrick Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is
331 Se 2nd St, Pendleton, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 276-6207.
NPI number for Tyler Patrick Johnson is 1306599162 and his current mailing address is 331 Se 2nd St, Pendleton, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306599162.
Healthcare Provider's Profile
Full Name | Tyler Patrick Johnson |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 331 Se 2nd St, Pendleton, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306599162
- Provider Enumeration Date: 02/01/2022
- Last Update Date: 09/19/2022
Medical Identifiers
Medical identifiers for Tyler Patrick Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306599162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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 Patrick Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tyler Patrick Johnson, 331 Se 2nd St, Pendleton, OR 97801-2224 Ph: (541) 276-6207 | Tyler Patrick Johnson, 331 Se 2nd St, Pendleton, OR 97801-2224 Ph: (541) 276-6207 |
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