Dr Tyler Daniel Petersen, DO in Vancouver, WA

Dr Tyler Daniel Petersen, DO is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Trauma" physician in Vancouver, Washington. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice University Of Pittsburgh Physicians, Northwest Surgical Specialists Pc and his current practice location is 200 Ne Mother Joseph Pl Ste 110, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 254-6161.

Dr Tyler Daniel Petersen is licensed to practice in Washington (license number OP61629112) 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 1093102220.

Contact Information

	Dr Tyler Daniel Petersen, DO
	200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 98664-3293
	(360) 254-6161
	(360) 803-0847

Map and Direction

Physician's Profile

Full Name	Dr Tyler Daniel Petersen
Gender	Male
Speciality	Orthopedic Surgery
Experience	8 Years
Location	200 Ne Mother Joseph Pl Ste 110, Vancouver, Washington
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:

Dr Tyler Daniel Petersen graduated from medical school in 2017

NPI Data:

NPI Number: 1093102220
Provider Enumeration Date: 04/26/2015
Last Update Date: 11/21/2025

Medicare PECOS Information:

PECOS PAC ID: 9436429032
Enrollment ID: I20220802002994

Medical Identifiers

Medical identifiers for Dr Tyler Daniel Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093102220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0801X	Orthopaedic Surgery - Orthopaedic Trauma	OP61629112 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Upmc Presbyterian Shadyside	Pittsburgh, PA	Hospital
Peacehealth Southwest Medical Center	Vancouver, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Pittsburgh Physicians	8729990239	3868
Northwest Surgical Specialists Pc	4183527153	109

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 Daniel Petersen allows following entities to bill medicare on his behalf.

Entity Name	University Of Pittsburgh Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883

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 Daniel Petersen 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 Daniel Petersen, DO 200 Ne Mother Joseph Pl Ste 210, Vancouver, WA 98664-3295 Ph: (360) 254-6161	Dr Tyler Daniel Petersen, DO 200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 98664-3293 Ph: (360) 254-6161

Reviews and Comments

Orthopaedic Surgery Doctors in Vancouver, WA

Edward H. Coale, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1146
Jerome J Dasilva, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Place, Suite 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1139
Dr. Alexandra Makenzie, DO Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 2529 Ne 139th St, Vancouver, WA 98686 Phone: 360-882-2778
Akaila Cabell-coleman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St, Vancouver, WA 98686 Phone: 360-882-2778
Dr. Samuel Draper Weirich, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684 Phone: 360-449-7039 Fax: 960-449-7034
Alan P. Newman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1146

Dr Tyler Daniel Petersen, DO - Medicare Orthopedic Surgery in Vancouver, WA