Dr Tyler Justin Boonstra, PHD in Albuquerque, NM - Medicare Clinical Psychologist Provider

Dr Tyler Justin Boonstra, PHD is a medicare enrolled "Psychologist - Clinical" provider in Albuquerque, New Mexico. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Unm Hospital and his current practice location is Unmh, 2211 Lomas Blvd. Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 272-4866.

Dr Tyler Justin Boonstra is licensed to practice in New Mexico (license number PSY1530) 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 1528549953.

Contact Information

	Dr Tyler Justin Boonstra, PHD
	Unmh, 2211 Lomas Blvd. Ne, Albuquerque, NM 87106-4374
	(505) 272-4866
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tyler Justin Boonstra
Gender	Male
Speciality	Clinical Psychologist
Experience	8 Years
Location	Unmh, Albuquerque, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tyler Justin Boonstra graduated from medical school in 2017

NPI Data:

NPI Number: 1528549953
Provider Enumeration Date: 08/23/2018
Last Update Date: 01/15/2025

Medicare PECOS Information:

PECOS PAC ID: 1951654151
Enrollment ID: I20181105000732

Medical Identifiers

Medical identifiers for Dr Tyler Justin Boonstra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528549953	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY1530 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of New Mexico Hospital	Albuquerque, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Unm Hospital	7618889528	291

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 Tyler Justin Boonstra allows following entities to bill medicare on his behalf.

Entity Name	Unm Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689747552 PECOS PAC ID: 7618889528 Enrollment ID: O20040110000011

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 Tyler Justin Boonstra 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
Dr Tyler Justin Boonstra, PHD 933 Bradbury Dr. Se, Suite 2222, Albuquerque, NM 87106-4374 Ph: () -	Dr Tyler Justin Boonstra, PHD Unmh, 2211 Lomas Blvd. Ne, Albuquerque, NM 87106-4374 Ph: (505) 272-4866

Reviews and Comments

Psychologist in Albuquerque, NM

Dr. Cynthia A. Ziemer, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 301 Unser Blvd Nw, Albuquerque, NM 87121 Phone: 505-925-4126
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Dr. Connie Kaye Mcneil, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7027 Montgomery Blvd Ne Ste F, Albuquerque, NM 87109 Phone: 505-880-0100
Dr. Joseph Alfred Bousquet, MSW, PHD Psychologist Medicare: Medicare Enrolled Practice Location: One San Rafael, The Cognitive Behavorial Institute Of Albuquerque, Albuquerque, NM 87122 Phone: 505-832-1600 Fax: 505-832-1161
Dr. Helen Lamar Jackson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6000 Summer Ave Ne, Albuquerque, NM 87110 Phone: 505-266-4226 Fax: 505-265-3844
Dr. Gary J Neuger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Lang Ave Ne Ste 110, Albuquerque, NM 87109 Phone: 505-798-2552

Dr Tyler Justin Boonstra, PHD - Medicare Psychologist in Albuquerque, NM