Dr Tyson Kenton Banner, DPT - Medicare Physical Therapist in St George, UT

Dr Tyson Kenton Banner, DPT is a medicare enrolled "Physical Therapist" provider in St George, Utah. His current practice location is 1490 E Foremaster Dr Ste 110, St George, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 288-2242.

Dr Tyson Kenton Banner is licensed to practice in Utah (license number 13744522-2401) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366212177.

Contact Information

Dr Tyson Kenton Banner, DPT
1490 E Foremaster Dr Ste 110,
St George, UT 84790-4492
(435) 288-2242
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Tyson Kenton Banner
GenderMale
SpecialityPhysical Therapist
Location1490 E Foremaster Dr Ste 110, St George, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366212177
  • Provider Enumeration Date: 01/03/2024
  • Last Update Date: 01/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981049665
  • Enrollment ID: I20240304003862

Medical Identifiers

Medical identifiers for Dr Tyson Kenton Banner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366212177NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 13744522-2401 (Utah)Primary

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. Dr Tyson Kenton Banner allows following entities to bill medicare on his behalf.
Provider NameElevate Physical Therapy Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134704083
PECOS PAC ID: 5496152548
Enrollment ID: O20210916001662

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. Dr Tyson Kenton Banner 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
Dr Tyson Kenton Banner, DPT
410 Sugar Leo Rd,
Saint George, UT 84790-7947

Ph: (801) 603-6751
Dr Tyson Kenton Banner, DPT
1490 E Foremaster Dr Ste 110,
St George, UT 84790-4492

Ph: (435) 288-2242

Reviews and Comments


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Mr. Stephen Jason Tomlinson, PT
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Practice Location: 1424 E Foremaster Dr Ste 120, St George, UT 84790
Phone: 435-656-8800    Fax: 435-627-1809

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.