Tyler Andrew Smith, MD in Provo, UT

Tyler Andrew Smith, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Provo, Utah. 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) 357-4423.

Tyler Andrew Smith is licensed to practice in Utah (license number 10516421-1205) 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 1487004529.

Contact Information

	Tyler Andrew Smith, MD
	1034 N 500 W, Provo, UT 84604-3380
	(801) 357-4423
	Not Available

Map and Direction

Physician's Profile

Full Name	Tyler Andrew Smith
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1034 N 500 W, 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: 1487004529
Provider Enumeration Date: 06/20/2016
Last Update Date: 06/19/2025

Medicare PECOS Information:

PECOS PAC ID: 8527350800
Enrollment ID: I20230518002572

Medical Identifiers

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

Identifier	Type	State	Issuer
1487004529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	R-16072 (Iowa)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	10516421-1205 (Utah)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	10516421-1205 (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 Andrew Smith allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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 Andrew Smith 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 Andrew Smith, MD Po Box 30180, Salt Lake City, UT 84130-0180 Ph: (801) 357-4423	Tyler Andrew Smith, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-4423

Reviews and Comments

Radiology Doctors in Provo, UT

Dr. Daniel Lyman Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-225-6246 Fax: 801-225-1525
Samuel Lynn Southam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 801-357-7626
Scott D Valadez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699
Mark S Asay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850
Dr. Lance Dustin Edmonds, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699
Dr. Ralph Christopher Reed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 112, Provo, UT 84604 Phone: 801-812-4624
Dr. Derek Scott Bergeson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Phone: 801-354-8225 Fax: 801-418-0941

Tyler Andrew Smith, MD - Medicare Radiology in Provo, UT