Mr Tyler Jason Fieldsted, DO - Medicare Family Practice in Provo, UT

Mr Tyler Jason Fieldsted, DO is a medicare enrolled "Family Medicine" physician in Provo, Utah. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 475 W 940 N, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-7926.

Mr Tyler Jason Fieldsted is licensed to practice in Utah (license number 9096189-1204) 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 1033452271.

Contact Information

Mr Tyler Jason Fieldsted, DO
475 W 940 N,
Provo, UT 84604-3301
(801) 357-7926
(801) 357-7927

Map and Direction




Physician's Profile

Full NameMr Tyler Jason Fieldsted
GenderMale
SpecialityFamily Practice
Experience11 Years
Location475 W 940 N, Provo, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Tyler Jason Fieldsted graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1033452271
  • Provider Enumeration Date: 04/05/2013
  • Last Update Date: 09/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163644725
  • Enrollment ID: I20141114000970

Medical Identifiers

Medical identifiers for Mr Tyler Jason Fieldsted such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033452271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 9096189-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
American Fork HospitalAmerican fork, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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. Mr Tyler Jason Fieldsted allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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 Tyler Jason Fieldsted 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
Mr Tyler Jason Fieldsted, DO
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Mr Tyler Jason Fieldsted, DO
475 W 940 N,
Provo, UT 84604-3301

Ph: (801) 357-7926

Reviews and Comments


Family Medicine Doctors in Provo, UT

Dr. Robert Joel Bush, M.D.
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Dr. Marlin L Christianson, MD
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Phone: 801-357-7930    Fax: 801-357-7014
Tyson Schwab,
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Medicare: Not Enrolled in Medicare
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Phone: 801-422-2771    Fax: 801-422-0761
Dr. Matthew Craig Evans, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1157 N 300 W, #201, Provo, UT 84604
Phone: 801-581-2000    

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.