Mr Tanner Lee Frey, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Provo, UT

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Mr Tanner Lee Frey, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" physician in Provo, Utah. His current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 358-1076.

Mr Tanner Lee Frey is licensed to practice in Utah (license number 10931513-1206) 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 1164909479.

Contact Information

Mr Tanner Lee Frey, PHYSICIAN ASSISTANT
1034 N 500 W,
Provo, UT 84604-3380
(801) 358-1076
Not Available

Map and Direction




Physician's Profile

Full NameMr Tanner Lee Frey
GenderMale
SpecialityPhysician Assistant
Location1034 N 500 W, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164909479
  • Provider Enumeration Date: 07/19/2018
  • Last Update Date: 07/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9234464827
  • Enrollment ID: I20190718002934

Medical Identifiers

Medical identifiers for Mr Tanner Lee Frey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164909479NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 1153249 (Utah)Secondary
363A00000XPhysician Assistant 10931513-1206 (Utah)Primary

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. Mr Tanner Lee Frey 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
Mr Tanner Lee Frey, PHYSICIAN ASSISTANT
245 W 500 N,
Lindon, UT 84042-1302

Ph: (801) 358-1076		Mr Tanner Lee Frey, PHYSICIAN ASSISTANT
1034 N 500 W,
Provo, UT 84604-3380

Ph: (801) 358-1076

Reviews and Comments



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.