Dr Tyler B Lippincott, MD is a medicare enrolled "Radiology - Body Imaging" physician in Portand, Oregon. His current practice location is
233 Ne 102nd Ave, Portand, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 253-1105.
Dr Tyler B Lippincott is licensed to practice in Oregon (license number MD16718) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720170590.
Physician's Profile
| Full Name | Dr Tyler B Lippincott |
|---|
| Gender | Male |
|---|
| Speciality | Radiology - Body Imaging |
|---|
| Location | 233 Ne 102nd Ave, Portand, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720170590
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 08/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 9739283524
- Enrollment ID: I20070404000223
Medical Identifiers
Medical identifiers for Dr Tyler B Lippincott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720170590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085B0100X | Radiology - Body Imaging | MD16718 (Oregon) | 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. Dr Tyler B Lippincott allows following entities to bill medicare on his behalf.
| Entity Name | Epic Imaging Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1700983319 PECOS PAC ID: 6608766423 Enrollment ID: O20040317000014 |
|---|
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. Dr Tyler B Lippincott 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 |
Dr Tyler B Lippincott, MD 233 Ne 102nd Ave, Portland, OR 97220-4106 Ph: () - | Dr Tyler B Lippincott, MD 233 Ne 102nd Ave, Portand, OR 97220 Ph: (503) 253-1105 |
Reviews and Comments