Tyler Anderson, MD, MHA in Provo, UT - Medicare Psychiatry & Neurology

Tyler Anderson, MD, MHA is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Provo, Utah. His current practice location is 750 N Freedom Blvd, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 373-4760.

Tyler Anderson is licensed to practice in Utah (license number 6219794-1205) 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 1356633143.

Contact Information

	Tyler Anderson, MD, MHA
	750 N Freedom Blvd, Provo, UT 84601-1677
	(801) 373-4760
	(801) 373-0639

Map and Direction

Physician's Profile

Full Name	Tyler Anderson
Gender	Male
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	750 N Freedom Blvd, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356633143
Provider Enumeration Date: 05/11/2011
Last Update Date: 06/04/2021

Medicare PECOS Information:

PECOS PAC ID: 1557653839
Enrollment ID: I20230428002301

Medical Identifiers

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

Identifier	Type	State	Issuer
1356633143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	DR.0059856 (Colorado)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	6219794-1205 (Utah)	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. Tyler Anderson allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Wasatch Behavioral Health Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014

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 Anderson 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
Tyler Anderson, MD, MHA 501 S Chipeta Way, Salt Lake City, UT 84108-1222 Ph: (801) 581-7951	Tyler Anderson, MD, MHA 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760

Reviews and Comments

Psychiatry & Neurology Doctors in Provo, UT

Edward Leslie Kelly, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 Fax: 801-344-4225
Brent L Griffin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542
Aaron William Sanders, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 601, Provo, UT 84604 Phone: 801-357-7525
Sam J Coates, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542
Dr. Rodney A Cheal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Ms. Madhumathy Gundlapalli, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Marianela Rosales Gerpe, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 Fax: 801-344-4215

Tyler Anderson, MD, MHA - Medicare Psychiatry & Neurology in Provo, UT