Tyler Dejong, MD - Medicare Emergency Medicine in Phoenix, AZ

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Tyler Dejong, MD is a medicare enrolled "Emergency Medicine - Sports Medicine" physician in Phoenix, Arizona. His current practice location is 500 W Thomas Rd Ste 800, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 406-1234.

Tyler Dejong is licensed to practice in Arizona (license number 77231) 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 1477135614.

Contact Information

Tyler Dejong, MD
500 W Thomas Rd Ste 800,
Phoenix, AZ 85013-4217
(602) 406-1234
(602) 406-6368

Map and Direction




Physician's Profile

Full NameTyler Dejong
GenderMale
SpecialityEmergency Medicine - Sports Medicine
Location500 W Thomas Rd Ste 800, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477135614
  • Provider Enumeration Date: 04/27/2021
  • Last Update Date: 09/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4486053535
  • Enrollment ID: I20240524001732

Medical Identifiers

Medical identifiers for Tyler Dejong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477135614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 77231 (Arizona)Secondary
207PS0010XEmergency Medicine - Sports Medicine 77231 (Arizona)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 Dejong allows following entities to bill medicare on his behalf.
Entity NameUniversity Physicians Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962461889
PECOS PAC ID: 3476465667
Enrollment ID: O20031105000375
Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225356868
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122

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 Dejong 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 Dejong, MD
Po Box 33269,
Phoenix, AZ 85067-3269

Ph: (602) 406-4786		Tyler Dejong, MD
500 W Thomas Rd Ste 800,
Phoenix, AZ 85013-4217

Ph: (602) 406-1234

Reviews and Comments


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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.