Tyler Judd Horne, is a
Student In An Organized Health Care Education/training Program based in Provo, Utah. Tyler Judd Horne is licensed to practice in * (Not Available) (license number ) and his current practice location is
1800 Novell Pl, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 663-3046.
NPI number for Tyler Judd Horne is 1457141731 and his current mailing address is 891 N 300 W, Pleasant Grove, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457141731.
Provider's Profile
| Full Name | Tyler Judd Horne |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1800 Novell Pl, Provo, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457141731
- Provider Enumeration Date: 05/09/2025
- Last Update Date: 05/09/2025
Medical Identifiers
Medical identifiers for Tyler Judd Horne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457141731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Judd Horne is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tyler Judd Horne,
891 N 300 W,
Pleasant Grove, UT 84062-1613
Ph: () - | Tyler Judd Horne,
1800 Novell Pl,
Provo, UT 84606-6171
Ph: (801) 663-3046 |
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