Tyler J Rundell, PA-C - Medicare Physician Assistant in Green River, UT

Tyler J Rundell, PA-C is a medicare enrolled "Physician Assistant" in Green River, Utah. 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 Duke University Affiliated Physicians Inc and his current practice location is 585 Main St, Green River, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 564-3434.

Tyler J Rundell is licensed to practice in Utah (license number 10877596-8906) 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 1861962912.

Contact Information

Tyler J Rundell, PA-C
585 Main St,
Green River, UT 84525
(435) 564-3434
Not Available

Map and Direction




Provider's Profile

Full NameTyler J Rundell
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location585 Main St, Green River, Utah
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 J Rundell graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1861962912
  • Provider Enumeration Date: 12/03/2018
  • Last Update Date: 12/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5698014983
  • Enrollment ID: I20240731000922

Medical Identifiers

Medical identifiers for Tyler J Rundell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861962912NPI-NPPES
10877596-1206OtherUTUTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING
10877596-8906OtherUTUTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING
1152696OtherNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10877596-8906 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Duke University HospitalDurham, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Duke University Affiliated Physicians Inc3779489588430

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 Rundell 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 J Rundell, PA-C
4325 S Doreen Cir,
Millcreek, UT 84107-2816

Ph: (607) 316-3109
Tyler J Rundell, PA-C
585 Main St,
Green River, UT 84525

Ph: (435) 564-3434

Reviews and Comments


Physician Assistant Nurses in Green River, UT

Mr. Kim Thyrill Mcfarlane, MPAS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 585 West Main Street, Green River, UT 84525
Phone: 435-564-3434    Fax: 435-564-3214
Loye West, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 305 West Main Street, Green River, UT 84525
Phone: 435-564-3434    
Mrs. Shannon Taylor Thurston, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 585 West Main Street, Green River, UT 84525
Phone: 435-564-3434    Fax: 435-564-3214

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.