Michael Tyler Colesar, is a medicare enrolled "Emergency Medicine" physician in Fort Richardson, Alaska. His current practice location is
688 6th St, Fort Richardson, Alaska. You can reach out to his office (for appointments etc.) via phone at
(541) 399-1269.
Michael Tyler Colesar is licensed to practice in Alaska (license number 195381) 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 1659834836.
Physician's Profile
| Full Name | Michael Tyler Colesar |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine |
|---|
| Location | 688 6th St, Fort Richardson, Alaska |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1659834836
- Provider Enumeration Date: 04/13/2019
- Last Update Date: 12/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587992904
- Enrollment ID: I20230510002244
Medical Identifiers
Medical identifiers for Michael Tyler Colesar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659834836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 195381 (Alaska) | 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. Michael Tyler Colesar allows following entities to bill medicare on his behalf.
| Entity Name | Matsu Emergency Medicine Physicians Corp |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073548129
PECOS PAC ID: 1557251022
Enrollment ID: O20040318000130 |
|---|
| Entity Name | Golden Heart Emergency Physicians Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649469446
PECOS PAC ID: 1658461892
Enrollment ID: O20071212000298 |
|---|
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. Michael Tyler Colesar 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 |
|---|
Michael Tyler Colesar,
1060 Gaffney Rd,
Fort Wainwright, AK 99703-5002
Ph: () - | Michael Tyler Colesar,
688 6th St,
Fort Richardson, AK 99505
Ph: (541) 399-1269 |
Reviews and Comments