Tyler D Ingersoll, DO - Medicare Family Medicine in Justin, TX

Tyler D Ingersoll, DO is a medicare enrolled "Family Medicine" physician in Justin, Texas. His current practice location is 1976 Texan Dr Ste 106, Justin, Texas. You can reach out to his office (for appointments etc.) via phone at (682) 212-9020.

Tyler D Ingersoll is licensed to practice in Texas (license number U8743) 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 1952939183.

Contact Information

Tyler D Ingersoll, DO
1976 Texan Dr Ste 106,
Justin, TX 76247-6774
(682) 212-9020
Not Available

Map and Direction




Physician's Profile

Full NameTyler D Ingersoll
GenderMale
SpecialityFamily Medicine
Location1976 Texan Dr Ste 106, Justin, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952939183
  • Provider Enumeration Date: 04/01/2020
  • Last Update Date: 07/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8527433713
  • Enrollment ID: I20240712002081

Medical Identifiers

Medical identifiers for Tyler D Ingersoll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952939183NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine U8743 (Texas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (Oklahoma)Secondary
207Q00000XFamily Medicine U8743 (Texas)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 D Ingersoll allows following entities to bill medicare on his behalf.
Entity NameTexas Health Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114395969
PECOS PAC ID: 4385535954
Enrollment ID: O20040323000759

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 D Ingersoll 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 D Ingersoll, DO
2345 Southwest Blvd,
Tulsa, OK 74107-2705

Ph: (918) 349-1500
Tyler D Ingersoll, DO
1976 Texan Dr Ste 106,
Justin, TX 76247-6774

Ph: (682) 212-9020

Reviews and Comments


Family Medicine Doctors in Justin, TX

Julie A Traynham, DO
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Phone: 940-242-0300    Fax: 940-242-0278
Natalie Marie Hull, D.O.
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Phone: 817-215-0936    Fax: 817-215-0940
Nicole Lynn Haynes, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 310 W 2nd St, Justin, TX 76247
Phone: 940-648-9900    
James Andrew Morgan, MD
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Medicare: Medicare Enrolled
Practice Location: 1800 Highway 114, Justin, TX 76247
Phone: 817-215-0936    Fax: 817-215-0940

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.