Ty Alan Cottle, PMHNP-BC is a
Psychiatry & Neurology - Psychiatry physician based in Rigby, Idaho. Ty Alan Cottle is licensed to practice in Idaho (license number 1471648) and his current practice location is 711 Rigby Lake Dr Ste 102, Rigby, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 973-9413.
NPI number for Ty Alan Cottle is 1871304238 and his current mailing address is Po Box 321, Lewisville, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871304238.
Physician's Profile
| Full Name | Ty Alan Cottle |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 711 Rigby Lake Dr Ste 102, Rigby, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871304238
- Provider Enumeration Date: 01/15/2025
- Last Update Date: 02/08/2025
Medical Identifiers
Medical identifiers for Ty Alan Cottle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871304238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 1471648 (Idaho) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 1471648 (Idaho) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 1471648 (Idaho) | Secondary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 1471648 (Idaho) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1471648 (Idaho) | 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. Ty Alan Cottle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ty Alan Cottle, PMHNP-BC
Po Box 321,
Lewisville, ID 83431-0321
Ph: () - | Ty Alan Cottle, PMHNP-BC
711 Rigby Lake Dr Ste 102,
Rigby, ID 83442-5230
Ph: (208) 973-9413 |
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