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

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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 NameDr Tyler Vachon
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location250 Cherry Ln Ste 116, Manteca, California
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1083777460NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - 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 NameCounty of San Joaquin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801830583
PECOS PAC ID: 6002703436
Enrollment ID: O20040301001287
Entity NameCentral Valley Imaging Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275523169
PECOS PAC ID: 8628064953
Enrollment ID: O20040422000783
Entity NameAdventist Health Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633
Entity NameLodi Memorial Hospital Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861649352
PECOS PAC ID: 7618880717
Enrollment ID: O20050517000577
Entity NameSan Joaquin Faculty Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225063761
PECOS PAC ID: 4082631395
Enrollment ID: O20051026000742
Entity NameGolden State Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.