Tyler Ann Sutherland, MA is a medicare enrolled "Marriage & Family Therapist" provider in Fort Defiance, Arizona. Her current practice location is
Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at
(850) 687-7916.
Tyler Ann Sutherland is licensed to practice in California (license number 144338) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275338477.
Healthcare Provider's Profile
Full Name | Tyler Ann Sutherland |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275338477
- Provider Enumeration Date: 02/13/2025
- Last Update Date: 02/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486177086
- Enrollment ID: I20250325000023
Medical Identifiers
Medical identifiers for Tyler Ann Sutherland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275338477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 144338 (California) | 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 Ann Sutherland allows following entities to bill medicare on her behalf.
Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
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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 Ann Sutherland 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 Ann Sutherland, MA Po Box 649, Fort Defiance, AZ 86504-0649 Ph: () - | Tyler Ann Sutherland, MA Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (850) 687-7916 |
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