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

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 7 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 NameDr Tyler Justin Boonstra
GenderMale
SpecialityClinical Psychologist
Experience7 Years
LocationUnmh, Albuquerque, New Mexico
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:
  • Dr Tyler Justin Boonstra graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1528549953
  • Provider Enumeration Date: 08/23/2018
  • Last Update Date: 07/14/2023
  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.
IdentifierTypeStateIssuer
1528549953NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY1530 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of New Mexico HospitalAlbuquerque, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Unm Hospital7618889528229

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 NameUnm Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


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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).

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