Dr Tyler Campbell, DO - Medicare Diagnostic Radiology in Providence, RI

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Dr Tyler Campbell, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Providence, Rhode Island. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Penrad Imaging Llc, Colorado Springs Radiologists Pc and his current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-5174.

Dr Tyler Campbell is licensed to practice in Rhode Island (license number DO00946) 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 1225467681.

Contact Information

Dr Tyler Campbell, DO
593 Eddy St,
Providence, RI 02903-4923
(401) 444-5174
Not Available

Map and Direction




Physician's Profile

Full NameDr Tyler Campbell
GenderMale
SpecialityDiagnostic Radiology
Experience12 Years
Location593 Eddy St, Providence, Rhode Island
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 Campbell attended and graduated from Michigan State University College Of Osteopathic Medicine in 2013
  NPI Data:
  • NPI Number: 1225467681
  • Provider Enumeration Date: 11/06/2013
  • Last Update Date: 08/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092008045
  • Enrollment ID: I20230712003927

Medical Identifiers

Medical identifiers for Dr Tyler Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225467681NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology UO3837 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology OS15299 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology 285531 (Massachusetts)Secondary
2085R0202XRadiology - Diagnostic Radiology DO00946 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centura Health-penrose St Francis Health ServicesColorado springs, COHospital
Uch-memorial Health SystemColorado springs, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Penrad Imaging Llc185038759829
Colorado Springs Radiologists Pc690189009428

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 Campbell allows following entities to bill medicare on his behalf.
Entity NameColorado Springs Radiologists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629168406
PECOS PAC ID: 6901890094
Enrollment ID: O20040412001373
Entity NamePenrad Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003906868
PECOS PAC ID: 1850387598
Enrollment ID: O20040420001609

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 Campbell 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 Campbell, DO
125 Metro Center Blvd Ste 2000,
Warwick, RI 02886-1785

Ph: () -		Dr Tyler Campbell, DO
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-5174

Reviews and Comments


Radiology Doctors in Providence, RI

Lars Stangenberg, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905
Phone: 401-553-8318    Fax: 401-868-2307
Kara Lynne Leonard, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903
Phone: 401-444-8311    Fax: 401-444-5335
Michael Low Cardenas, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 825 N Main St, Providence, RI 02904
Phone: 774-279-0884    
Earle O Assanah, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5174    
Glenn A Tung, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4000    
Sarah-kim Shields, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Radiology, Providence, RI 02903
Phone: 401-444-2133    Fax: 401-444-5017
Sean O'neill, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5127    Fax: 401-444-3056

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.