Tyler J Light, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Corvallis, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice The Corvallis Clinic P C and his current practice location is
444 Nw Elks Dr, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 494-8311.
Tyler J Light is licensed to practice in * (Not Available) (license number ) 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 1003366808.
Physician's Profile
| Full Name | Tyler J Light |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 8 Years |
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| Location | 444 Nw Elks Dr, Corvallis, Oregon |
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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. |
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Medical Education and Training:
- Tyler J Light attended and graduated from Oregon Health Sciences University School Of Medicine in 2017
NPI Data:
- NPI Number: 1003366808
- Provider Enumeration Date: 10/05/2016
- Last Update Date: 05/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658641683
- Enrollment ID: I20220701002054
Medical Identifiers
Medical identifiers for Tyler J Light such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003366808 | NPI | - | NPPES |
| MD208155 | Other | OR | OREGON MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | MD208155 (Oregon) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Corvallis Clinic P C | 1456244540 | 90 |
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 J Light allows following entities to bill medicare on his behalf.
| Entity Name | The Corvallis Clinic P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649227265
PECOS PAC ID: 1456244540
Enrollment ID: O20040203000916 |
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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 J Light 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 |
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Tyler J Light,
444 Nw Elks Dr,
Corvallis, OR 97330-3745
Ph: (541) 754-1150 | Tyler J Light,
444 Nw Elks Dr,
Corvallis, OR 97330-3758
Ph: (503) 494-8311 |
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