Tyree John Dingle, in Portland, OR - Medicare Clinical Psychologist Provider

Tyree John Dingle, is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. He graduated from healthcare school in 2023 and has 2 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Optum Behavioral Care Of Colorado, P.c. and his current practice location is 1411 Sw Morrison St Ste 310, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 352-2400.

Tyree John Dingle is licensed to practice in Oregon (license number 3940) 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 1710476684.

Contact Information

	Tyree John Dingle,
	1411 Sw Morrison St Ste 310, Portland, OR 97205-1945
	(503) 352-2400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyree John Dingle
Gender	Male
Speciality	Clinical Psychologist
Experience	2 Years
Location	1411 Sw Morrison St Ste 310, Portland, Oregon
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:

Tyree John Dingle graduated from medical school in 2023

NPI Data:

NPI Number: 1710476684
Provider Enumeration Date: 05/07/2018
Last Update Date: 01/07/2025

Medicare PECOS Information:

PECOS PAC ID: 7618407594
Enrollment ID: I20250206002872

Medical Identifiers

Medical identifiers for Tyree John Dingle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710476684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	3940 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Behavioral Care Of Colorado, P.c.	0941648463	150

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. Tyree John Dingle allows following entities to bill medicare on his behalf.

Entity Name	Optum Behavioral Care Of Colorado, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316717747 PECOS PAC ID: 0941648463 Enrollment ID: O20240827003465

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. Tyree John Dingle 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
Tyree John Dingle, 101 E Broadway Ste 400, Eugene, OR 97401-3104 Ph: (541) 357-9764	Tyree John Dingle, 1411 Sw Morrison St Ste 310, Portland, OR 97205-1945 Ph: (503) 352-2400

Tyree John Dingle, - Medicare Counselor in Portland, OR