Dr Tyler J Provost, DO - Medicare Family Practice in Thomson, GA

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Dr Tyler J Provost, DO is a medicare enrolled "Family Medicine" physician in Thomson, Georgia. He went to Lake Erie College Of Osteopathic Medicine, Bradenton and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Neighborhood Improvement Project Inc and his current practice location is 2508 University Dr, Thomson, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 595-1090.

Dr Tyler J Provost is licensed to practice in Georgia (license number 89610) 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 1588186191.

Contact Information

Dr Tyler J Provost, DO
2508 University Dr,
Thomson, GA 30824-0040
(706) 595-1090
(706) 595-6010

Map and Direction




Physician's Profile

Full NameDr Tyler J Provost
GenderMale
SpecialityFamily Practice
Experience9 Years
Location2508 University Dr, Thomson, Georgia
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 J Provost attended and graduated from Lake Erie College Of Osteopathic Medicine, Bradenton in 2015
  NPI Data:
  • NPI Number: 1588186191
  • Provider Enumeration Date: 07/14/2017
  • Last Update Date: 11/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143575381
  • Enrollment ID: I20210924001569

Medical Identifiers

Medical identifiers for Dr Tyler J Provost such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588186191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 89610 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Mcduffie County Regional Medical CenterThomson, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Neighborhood Improvement Project Inc731585107850

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 J Provost allows following entities to bill medicare on his behalf.
Entity NameNeighborhood Improvement Project Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700900867
PECOS PAC ID: 7315851078
Enrollment ID: O20031117000665
Entity NameFamily Care Group Of Thomson Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669660783
PECOS PAC ID: 9133153273
Enrollment ID: O20050919000990

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 J Provost 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 J Provost, DO
2508 University Dr,
Thomson, GA 30824-0040

Ph: (706) 595-1090		Dr Tyler J Provost, DO
2508 University Dr,
Thomson, GA 30824-0040

Ph: (706) 595-1090

Reviews and Comments


Family Medicine Doctors in Thomson, GA

Dr. Susan H Land, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 505 Mount Pleasant Rd, Thomson, GA 30824
Phone: 706-595-1461    Fax: 706-597-9824
Ms. Kelli M Carter, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1113 Washington Rd, Thomson, GA 30824
Phone: 706-595-7825    Fax: 706-595-1235
Roger F. Nelson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 315 Fluker St, Thomson, GA 30824
Phone: 706-595-1090    Fax: 706-595-6010
Dr. Amy Leurinda, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1043 Washington Rd, Thomson, GA 30824
Phone: 706-595-1461    Fax: 706-597-9824
Dr. Holly Barmore Mahoney, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 505 Mount Pleasant Rd, Thomson, GA 30824
Phone: 706-595-1461    
Dr. Daryl Carson Wiley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 315 Fluker St, Thomson, GA 30824
Phone: 706-595-1090    Fax: 706-595-6010

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.