Tyler M Clark, PA-C - Medicare Physician Assistant in Lakewood, CO

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Tyler M Clark, PA-C is a medicare enrolled "Physician Assistant" in Lakewood, Colorado. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Optumcare Colorado Medical Group Llc and his current practice location is 165 S Union Blvd Ste 800, Lakewood, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 988-2680.

Tyler M Clark is licensed to practice in Colorado (license number PA.0005701) 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 1952866576.

Contact Information

Tyler M Clark, PA-C
165 S Union Blvd Ste 800,
Lakewood, CO 80228-2213
(303) 988-2680
(303) 896-8057

Map and Direction




Provider's Profile

Full NameTyler M Clark
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location165 S Union Blvd Ste 800, Lakewood, Colorado
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 M Clark graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1952866576
  • Provider Enumeration Date: 02/07/2019
  • Last Update Date: 09/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7810238243
  • Enrollment ID: I20190411000771

Medical Identifiers

Medical identifiers for Tyler M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952866576NPI-NPPES
9000170986MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA.0005701 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Optumcare Colorado Medical Group Llc2769706431187

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 M Clark allows following entities to bill medicare on his behalf.
Entity NameNew West Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427010859
PECOS PAC ID: 9537054614
Enrollment ID: O20040218000087
Entity NameLong Term Care and Rehab Consultants
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306946728
PECOS PAC ID: 5294733861
Enrollment ID: O20061114000338
Entity NameOptumcare Colorado Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407252828
PECOS PAC ID: 2769706431
Enrollment ID: O20150129000413

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 M Clark 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 M Clark, PA-C
Po Box 35380,
Las Vegas, NV 89133-5380

Ph: (702) 579-3203		Tyler M Clark, PA-C
165 S Union Blvd Ste 800,
Lakewood, CO 80228-2213

Ph: (303) 988-2680

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.