Tyler Vinson, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Saratoga, California. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Agile Physical Therapy Inc and his current practice location is
18780 Cox Ave, Saratoga, California. You can reach out to his office (for appointments etc.) via phone at
(408) 973-7700.
Tyler Vinson is licensed to practice in California (license number 297320) 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 1548818412.
Physician's Profile
| Full Name | Tyler Vinson |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 5 Years |
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| Location | 18780 Cox Ave, Saratoga, 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. |
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Medical Education and Training:
- Tyler Vinson graduated from medical school in 2019
NPI Data:
- NPI Number: 1548818412
- Provider Enumeration Date: 09/03/2019
- Last Update Date: 09/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 7810227014
- Enrollment ID: I20191002000980
Medical Identifiers
Medical identifiers for Tyler Vinson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548818412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 297320 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Agile Physical Therapy Inc | 2163311556 | 36 |
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 Vinson allows following entities to bill medicare on his behalf.
| Entity Name | Agile Physical Therapy Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659445443
PECOS PAC ID: 2163311556
Enrollment ID: O20040312001327 |
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| Entity Name | Optm Physical Therapy Of Saratoga Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1538131917
PECOS PAC ID: 7719967272
Enrollment ID: O20040723000994 |
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| Entity Name | California Luna Care Physical Therapy Pc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1689162166
PECOS PAC ID: 9638427834
Enrollment ID: O20180803002123 |
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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 Vinson 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 Vinson, DPT
18780 Cox Ave,
Saratoga, CA 95070-4109
Ph: (408) 973-7700 | Tyler Vinson, DPT
18780 Cox Ave,
Saratoga, CA 95070-4109
Ph: (408) 973-7700 |
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