Tyler Roe, DO - Medicare Pain Management in Burley, ID

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Tyler Roe, DO is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Burley, Idaho. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2014 and has 12 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Magic Valley Pain Specialists, Pllc, Sipi Clinic Llc, North Canyon Medical Center Inc and his current practice location is 1344 Hiland Ave Ste A, Burley, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 678-7246.

Tyler Roe is licensed to practice in Idaho (license number O-1201) 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 1710305768.

Contact Information

Tyler Roe, DO
1344 Hiland Ave Ste A,
Burley, ID 83318
(208) 678-7246
Not Available

Map and Direction




Physician's Profile

Full NameTyler Roe
GenderMale
SpecialityPain Management
Experience12 Years
Location1344 Hiland Ave Ste A, Burley, Idaho
Accepts Medicare AssignmentsYes. 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 Roe attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2014
  NPI Data:
  • NPI Number: 1710305768
  • Provider Enumeration Date: 04/06/2014
  • Last Update Date: 04/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698025021
  • Enrollment ID: I20190806001946

Medical Identifiers

Medical identifiers for Tyler Roe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710305768NPI-NPPES
388203702OtherTXCSHCN
388203701MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology Q8621 (Texas)Secondary
207LP2900XAnesthesiology - Pain Medicine O-1201 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intermountain Health Cassia Regional HospitalBurley, IDHospital
Minidoka Memorial HospitalRupert, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Magic Valley Pain Specialists, Pllc88204843892
Sipi Clinic Llc58901672336
North Canyon Medical Center Inc094137143973

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 Roe allows following entities to bill medicare on his behalf.
Entity NameNorth Canyon Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609046671
PECOS PAC ID: 0941371439
Enrollment ID: O20090409000304
Entity NameSipi Ambulatory Surgery Center
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1518272087
PECOS PAC ID: 8426240664
Enrollment ID: O20101006001183
Entity NameMagic Valley Pain Specialists, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003564998
PECOS PAC ID: 8820484389
Enrollment ID: O20220408001697
Entity NameSipi Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780398586
PECOS PAC ID: 5890167233
Enrollment ID: O20230210000802

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 Roe 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 Roe, DO
1344 Hiland Ave Ste A,
Burley, ID 83318-1564

Ph: (208) 678-7246		Tyler Roe, DO
1344 Hiland Ave Ste A,
Burley, ID 83318

Ph: (208) 678-7246

Reviews and Comments



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.