Dr Tyler Scott Weaver, MD is a medicare enrolled "Otolaryngology" physician in Oregon City, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice The Oregon Clinic, Pc and his current practice location is
1508 Division St Ste 115, Oregon City, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 656-0601.
Dr Tyler Scott Weaver is licensed to practice in Oregon (license number MD194367) 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 1326467812.
Physician's Profile
| Full Name | Dr Tyler Scott Weaver |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 10 Years |
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| Location | 1508 Division St Ste 115, Oregon City, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tyler Scott Weaver attended and graduated from Oregon Health Sciences University School Of Medicine in 2014
NPI Data:
- NPI Number: 1326467812
- Provider Enumeration Date: 04/10/2014
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719104652
- Enrollment ID: I20190725001783
Medical Identifiers
Medical identifiers for Dr Tyler Scott Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326467812 | NPI | - | NPPES |
| 500707151 | Medicaid | OR | |
| 2037635 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | MD194367 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Oregon Clinic, Pc | 2860390408 | 313 |
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 Scott Weaver allows following entities to bill medicare on his behalf.
| Entity Name | The Oregon Clinic, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265417174
PECOS PAC ID: 2860390408
Enrollment ID: O20031222000096 |
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| Entity Name | Providence Health & Services - Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912282369
PECOS PAC ID: 5294901922
Enrollment ID: O20120319000430 |
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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 Scott Weaver 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 |
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Dr Tyler Scott Weaver, MD
541 Ne 20th Ave Ste 225,
Portland, OR 97232-2895
Ph: (503) 963-2801 | Dr Tyler Scott Weaver, MD
1508 Division St Ste 115,
Oregon City, OR 97045-1584
Ph: (503) 656-0601 |
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