Tyler Blair Evans, MD - Medicare Preventive Medicine in Scotts Valley, CA

  1. Home
  2. Preventive Medicine
  3. CA
  4. Scotts Valley
Tyler Blair Evans, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Scotts Valley, California. His current practice location is 250 Quail Ridge Rd, Scotts Valley, California. You can reach out to his office (for appointments etc.) via phone at (408) 341-9606.

Tyler Blair Evans is licensed to practice in California (license number A148240) 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 1912227125.

Contact Information

Tyler Blair Evans, MD
250 Quail Ridge Rd,
Scotts Valley, CA 95066-4821
(408) 341-9606
Not Available

Map and Direction




Physician's Profile

Full NameTyler Blair Evans
GenderMale
SpecialityPreventive Medicine - Public Health & General Preventive Medicine
Location250 Quail Ridge Rd, Scotts Valley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912227125
  • Provider Enumeration Date: 06/10/2010
  • Last Update Date: 02/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335311059
  • Enrollment ID: I20140616000768

Medical Identifiers

Medical identifiers for Tyler Blair Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912227125NPI-NPPES
00695941MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R72287 (Arizona)Secondary
207R00000XInternal Medicine 262216 (New York)Secondary
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine 262216-1 (New York)Secondary
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine A148240 (California)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. Tyler Blair Evans allows following entities to bill medicare on his behalf.
Entity NameQuentin Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487087250
PECOS PAC ID: 4981833647
Enrollment ID: O20140130000098
Entity NameQmg 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437546363
PECOS PAC ID: 0345541512
Enrollment ID: O20151211000754
Entity NameQmg4 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023471299
PECOS PAC ID: 4284912957
Enrollment ID: O20161031002469

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. Tyler Blair Evans 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
Tyler Blair Evans, MD
1001 N Martel Ave,
West Hollywood, CA 90046-6611

Ph: (323) 436-5019		Tyler Blair Evans, MD
250 Quail Ridge Rd,
Scotts Valley, CA 95066-4821

Ph: (408) 341-9606

Reviews and Comments


Preventive Medicine Doctors in Scotts Valley, CA


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.