Dr Tyler Maxwell Dority, PHD, LP in Mankato, MN - Medicare Clinical Psychologist Provider

Dr Tyler Maxwell Dority, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Mankato, Minnesota. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 12 Civic Center Plz Ste 1615, Mankato, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 345-4679.

Dr Tyler Maxwell Dority is licensed to practice in Minnesota (license number LP6328) 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 1104394212.

Contact Information

	Dr Tyler Maxwell Dority, PHD, LP
	12 Civic Center Plz Ste 1615, Mankato, MN 56001-7783
	(507) 345-4679
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tyler Maxwell Dority
Gender	Male
Speciality	Clinical Psychologist
Experience	8 Years
Location	12 Civic Center Plz Ste 1615, Mankato, Minnesota
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 Maxwell Dority graduated from medical school in 2016

NPI Data:

NPI Number: 1104394212
Provider Enumeration Date: 11/06/2018
Last Update Date: 08/02/2022

Medicare PECOS Information:

PECOS PAC ID: 3476968884
Enrollment ID: I20210217001836

Medical Identifiers

Medical identifiers for Dr Tyler Maxwell Dority such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104394212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	LP6328 (Minnesota)	Secondary
103TF0200X	Psychologist - Forensic	LP6328 (Minnesota)	Secondary
103TC0700X	Psychologist - Clinical	LP6328 (Minnesota)	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 Tyler Maxwell Dority allows following entities to bill medicare on his behalf.

Entity Name	Inspire Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134691975 PECOS PAC ID: 8729493127 Enrollment ID: O20210217001385

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 Maxwell Dority 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 Maxwell Dority, PHD, LP 12 Civic Center Plz Ste 1615, Mankato, MN 56001-7783 Ph: (507) 345-4679	Dr Tyler Maxwell Dority, PHD, LP 12 Civic Center Plz Ste 1615, Mankato, MN 56001-7783 Ph: (507) 345-4679

Reviews and Comments

Psychologist in Mankato, MN

Elizabeth Ann Quinby, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1028 Woodland Ave, Mankato, MN 56001 Phone: 319-493-8773
Ms. Janice Mary Boyum, MSLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 710 South 2nd St., Mankato, MN 56001 Phone: 507-625-7660 Fax: 507-625-8998
Dr. Theodore Surdy, PHD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1227 Caledonia St, Mankato, MN 56001 Phone: 507-388-8874 Fax: 507-685-4807
Dr. Kimberly Ann Haala, PH.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031
Dr. Nancy Fenrick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 Reed St, Suite 115, Mankato, MN 56001 Phone: 507-625-4060 Fax: 507-625-3915
Rosean Bishop, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031
David Earl Hildebrandt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Martin Luther King Dr, Mankato, MN 56001 Phone: 507-385-6574 Fax: 507-385-6511

Dr Tyler Maxwell Dority, PHD, LP - Medicare Psychologist in Mankato, MN