Dr Tyson Jensen Tidwell, DO - Medicare Pediatrics in Heber City, UT

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Dr Tyson Jensen Tidwell, DO is a medicare enrolled "Pediatrics" physician in Heber City, Utah. His current practice location is 454 E Medical Way, Heber City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 657-4400.

Dr Tyson Jensen Tidwell is licensed to practice in Utah (license number 11271416-1204) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215347463.

Contact Information

Dr Tyson Jensen Tidwell, DO
454 E Medical Way,
Heber City, UT 84032-1391
(435) 657-4400
Not Available

Map and Direction




Physician's Profile

Full NameDr Tyson Jensen Tidwell
GenderMale
SpecialityPediatrics
Location454 E Medical Way, Heber City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215347463
  • Provider Enumeration Date: 04/28/2014
  • Last Update Date: 04/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9032487814
  • Enrollment ID: I20170620001433

Medical Identifiers

Medical identifiers for Dr Tyson Jensen Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215347463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics R0967 (Texas)Secondary
208M00000XHospitalist 007623 (Arizona)Secondary
208000000XPediatrics 11271416-1204 (Utah)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 Tyson Jensen Tidwell allows following entities to bill medicare on his behalf.
Entity NameDell Childrens Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326072943
PECOS PAC ID: 8224092978
Enrollment ID: O20041112001030

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 Tyson Jensen Tidwell 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 Tyson Jensen Tidwell, DO
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (435) 657-4400		Dr Tyson Jensen Tidwell, DO
454 E Medical Way,
Heber City, UT 84032-1391

Ph: (435) 657-4400

Reviews and Comments


Pediatrics Doctors in Heber City, UT

Cady Mcanally, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 454 E Medical Way, Heber City, UT 84032
Phone: 435-654-2500    
Dr. David C. Larson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 345 E Gateway Dr Ste 150, Heber City, UT 84032
Phone: 435-657-0101    Fax: 435-315-3146
Kathryn M. Murray, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 380 E 1500 S, #201, Heber City, UT 84032
Phone: 435-657-0101    

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.