Dr Tyler John Southwell, MD in Paradise Valley, AZ

Dr Tyler John Southwell, MD is a medicare enrolled "Family Medicine" physician in Paradise Valley, Arizona. He went to Wayne State University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southwellness Medical Llc and his current practice location is 10599 N Tatum Blvd Ste F151, Paradise Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 991-9271.

Dr Tyler John Southwell is licensed to practice in Arizona (license number 47542) 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 1194980367.

Contact Information

	Dr Tyler John Southwell, MD
	10599 N Tatum Blvd Ste F151, Paradise Valley, AZ 85253-1053
	(480) 991-9271
	(844) 284-7758

Map and Direction

Physician's Profile

Full Name	Dr Tyler John Southwell
Gender	Male
Speciality	Family Practice
Experience	16 Years
Location	10599 N Tatum Blvd Ste F151, Paradise Valley, Arizona
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 John Southwell attended and graduated from Wayne State University School Of Medicine in 2008

NPI Data:

NPI Number: 1194980367
Provider Enumeration Date: 07/27/2008
Last Update Date: 01/26/2021

Medicare PECOS Information:

PECOS PAC ID: 9931356466
Enrollment ID: I20130614000425

Medical Identifiers

Medical identifiers for Dr Tyler John Southwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194980367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301095075 (Michigan)	Secondary
207Q00000X	Family Medicine	47542 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwellness Medical Llc	8628486628	2

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 John Southwell allows following entities to bill medicare on his behalf.

Entity Name	Southwellness Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366099533 PECOS PAC ID: 8628486628 Enrollment ID: O20210412001458

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 John Southwell 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 John Southwell, MD 6033 E Carnation Cir, Phoenix, AZ 85018-6716 Ph: (616) 560-4160	Dr Tyler John Southwell, MD 10599 N Tatum Blvd Ste F151, Paradise Valley, AZ 85253-1053 Ph: (480) 991-9271

Reviews and Comments

Family Medicine Doctors in Paradise Valley, AZ

Dr. Theodore L Rudberg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5430 E Sapphire Ln, Paradise Valley, AZ 85253 Phone: 602-410-3293
Dr. Justin Payom Rouintan, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8732 N 66th Pl, Paradise Valley, AZ 85253 Phone: 602-502-0062
Dr. Juan Pedro Leyva, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5101 N Casa Blanca Dr, # 27, Paradise Valley, AZ 85253 Phone: 602-799-2939
Mr. Steven T Hoshiwara, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10595 N Tatum Blvd Ste E144, Paradise Valley, AZ 85253 Phone: 480-907-7978 Fax: 480-588-7340
Dr. Brent R Allan, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5547 E Sanna St, Paradise Valley, AZ 85253 Phone: 602-703-1244 Fax: 480-443-0087
Dr. Trupti K Patel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7027 N Scottsdale Rd, Suite 116, Paradise Valley, AZ 85253 Phone: 614-638-3848

Dr Tyler John Southwell, MD - Medicare Family Practice in Paradise Valley, AZ