Mr Tanner Lee Frey, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" physician in Provo, Utah. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Exceptional Physician Group Arizona, Pllc and his current practice location is
1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 358-1076.
Mr Tanner Lee Frey is licensed to practice in Utah (license number 10931513-1206) 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 1164909479.
Physician's Profile
| Full Name | Mr Tanner Lee Frey |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 1034 N 500 W, Provo, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Tanner Lee Frey graduated from medical school in 2018
NPI Data:
- NPI Number: 1164909479
- Provider Enumeration Date: 07/19/2018
- Last Update Date: 07/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 9234464827
- Enrollment ID: I20230314000656
Medical Identifiers
Medical identifiers for Mr Tanner Lee Frey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164909479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207PE0004X | Emergency Medicine - Emergency Medical Services | 1153249 (Utah) | Secondary |
| 363A00000X | Physician Assistant | 10931513-1206 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Exceptional Physician Group Arizona, Pllc | 0042605008 | 16 |
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. Mr Tanner Lee Frey 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 |
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Mr Tanner Lee Frey, PHYSICIAN ASSISTANT
245 W 500 N,
Lindon, UT 84042-1302
Ph: (801) 358-1076 | Mr Tanner Lee Frey, PHYSICIAN ASSISTANT
1034 N 500 W,
Provo, UT 84604-3380
Ph: (801) 358-1076 |
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