Tyler Blair Evans, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Scotts Valley, California. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
250 Quail Ridge Rd, Scotts Valley, California. You can reach out to his office (for appointments etc.) via phone at
(408) 341-9606.
Tyler Blair Evans is licensed to practice in California (license number A148240) 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 1912227125.
Physician's Profile
| Full Name | Tyler Blair Evans |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 16 Years |
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| Location | 250 Quail Ridge Rd, Scotts Valley, California |
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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. |
Medical Education and Training:
- Tyler Blair Evans graduated from medical school in 2010
NPI Data:
- NPI Number: 1912227125
- Provider Enumeration Date: 06/10/2010
- Last Update Date: 03/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 9335311059
- Enrollment ID: I20170523002901
Medical Identifiers
Medical identifiers for Tyler Blair Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912227125 | NPI | - | NPPES |
| 00695941 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | R72287 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 262216 (New York) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | A148240 (California) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | A148240 (California) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 262216-1 (New York) | Secondary |
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 Blair Evans allows following entities to bill medicare on his behalf.
| Entity Name | Regents Of The University Of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760552343 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389 |
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| Entity Name | County Of San Mateo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292 |
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| Entity Name | University Of California San Francisco |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
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| Entity Name | Ucsf Medical Group Business Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
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| Entity Name | Wea Ca Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699471482 PECOS PAC ID: 8527433085 Enrollment ID: O20230414000654 |
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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 Blair Evans 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 Blair Evans, MD 1001 N Martel Ave, West Hollywood, CA 90046-6611 Ph: (323) 436-5019 | Tyler Blair Evans, MD 250 Quail Ridge Rd, Scotts Valley, CA 95066-4821 Ph: (408) 341-9606 |
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