Tyler Jake Tolman, - Medicare Family Practice in Eagle, ID

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Tyler Jake Tolman, is a medicare enrolled "Family Medicine" physician in Eagle, Idaho. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 3101 E State St Ste And2107, Eagle, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 473-3500.

Tyler Jake Tolman is licensed to practice in Idaho (license number O-1336) 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 1740774439.

Contact Information

Tyler Jake Tolman,
3101 E State St Ste And2107,
Eagle, ID 83616-6232
(208) 473-3500
Not Available

Map and Direction




Physician's Profile

Full NameTyler Jake Tolman
GenderMale
SpecialityFamily Practice
Experience6 Years
Location3101 E State St Ste And2107, Eagle, Idaho
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:
  • Tyler Jake Tolman graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1740774439
  • Provider Enumeration Date: 06/18/2018
  • Last Update Date: 11/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5496003923
  • Enrollment ID: I20211130002384

Medical Identifiers

Medical identifiers for Tyler Jake Tolman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740774439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MRO-1739 (Idaho)Secondary
207Q00000XFamily Medicine O-1336 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
Saint Alphonsus Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402968

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. Tyler Jake Tolman allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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. Tyler Jake Tolman 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
Tyler Jake Tolman,
190 E Bannock St,
Boise, ID 83712-6241

Ph: () -		Tyler Jake Tolman,
3101 E State St Ste And2107,
Eagle, ID 83616-6232

Ph: (208) 473-3500

Reviews and Comments


Family Medicine Doctors in Eagle, ID

Mr. Peter Voss Abraham, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 507 S Fitness Pl, Suite 110, Eagle, ID 83616
Phone: 208-947-0925    Fax: 208-947-0926
Bartholomew Michael Ripepi, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1895 Mcgrath Rd, Eagle, ID 83616
Phone: 208-939-8200    Fax: 208-939-8222
Nancy Mallory, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 435 S Eagle Rd, Eagle, ID 83616
Phone: 208-939-8200    
Dr. James Donald Mcgregor, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 E Riverside Drive, Ste 224, Eagle, ID 83616
Phone: 208-302-6000    Fax: 208-302-6055
Dr. Michael A Kaylor, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 435 S Eagle Rd, Eagle, ID 83616
Phone: 208-939-8200    Fax: 208-939-8222
David J Kelly, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3217 W Bavaria St, Eagle, ID 83616
Phone: 208-302-6200    Fax: 208-302-6255
Eric Overton,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3217 W Bavaria St, Eagle, ID 83616
Phone: 208-302-6200    Fax: 208-302-6255

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.