Dr Tyler Vachon, MD in Manteca, CA

Dr Tyler Vachon, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Manteca, California. His current practice location is 250 Cherry Ln Ste 116, Manteca, California. You can reach out to his office (for appointments etc.) via phone at (209) 647-2184.

Dr Tyler Vachon is licensed to practice in California (license number A151542) 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 1083777460.

Contact Information

	Dr Tyler Vachon, MD
	250 Cherry Ln Ste 116, Manteca, CA 95337-4398
	(209) 647-2184
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tyler Vachon
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	250 Cherry Ln Ste 116, Manteca, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083777460
Provider Enumeration Date: 12/18/2006
Last Update Date: 03/18/2026

Medicare PECOS Information:

PECOS PAC ID: 0547694101
Enrollment ID: I20200107002714

Medical Identifiers

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

Identifier	Type	State	Issuer
1083777460	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A151542 (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. Dr Tyler Vachon allows following entities to bill medicare on his behalf.

Entity Name	Golden State Imaging Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788

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 Vachon 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 Vachon, MD 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 Ph: (209) 647-2184	Dr Tyler Vachon, MD 250 Cherry Ln Ste 116, Manteca, CA 95337-4398 Ph: (209) 647-2184

Reviews and Comments

Radiology Doctors in Manteca, CA

Hai C Hoang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry Ln Ste 116, Manteca, CA 95337 Phone: 209-647-2184
Dmitriy Shnayderman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry Ln Ste 116, Manteca, CA 95337 Phone: 209-647-2184 Fax: 414-259-9290
Juliana Ling Xie, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry Ln Ste 116, Manteca, CA 95337 Phone: 209-647-2184
Dr. Samyuktha Balabhadra, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry Ln Ste 116, Manteca, CA 95337 Phone: 209-647-2184
Dr. Tarundeep Singh Grewal, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry Ln Ste 116, Manteca, CA 95337 Phone: 209-647-2184
Dr. Chigurupati V. Ramana, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 145 Trevino Ave, Manteca, CA 95337 Phone: 209-788-8180 Fax: 209-783-0036

Dr Tyler Vachon, MD - Medicare Radiology in Manteca, CA