Dr Tyler Dallin Boulter, MD in Portland, OR

Dr Tyler Dallin Boulter, MD is a medicare enrolled "Ophthalmology" physician in Portland, Oregon. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Eye Health Northwest Pc and his current practice location is 9135 Sw Barnes Rd Ste 961, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 292-0848.

Dr Tyler Dallin Boulter is licensed to practice in Oregon (license number MD215593) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1730683970.

Contact Information

	Dr Tyler Dallin Boulter, MD
	9135 Sw Barnes Rd Ste 961, Portland, OR 97225-6699
	(503) 292-0848
	(503) 296-0635

Map and Direction

Physician's Profile

Full Name	Dr Tyler Dallin Boulter
Gender	Male
Speciality	Ophthalmology
Experience	6 Years
Location	9135 Sw Barnes Rd Ste 961, Portland, Oregon
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tyler Dallin Boulter attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2018

NPI Data:

NPI Number: 1730683970
Provider Enumeration Date: 03/22/2018
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 1355676644
Enrollment ID: I20230609002057

Medical Identifiers

Medical identifiers for Dr Tyler Dallin Boulter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730683970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	22178 (New Hampshire)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207W00000X	Ophthalmology	MD215593 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Health Northwest Pc	9234039926	57

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 Tyler Dallin Boulter allows following entities to bill medicare on his behalf.

Entity Name	Eye Health Northwest Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619959731 PECOS PAC ID: 9234039926 Enrollment ID: O20040109000739

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 Tyler Dallin Boulter 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
Dr Tyler Dallin Boulter, MD Po Box 22009, Portland, OR 97269-2009 Ph: (503) 558-7372	Dr Tyler Dallin Boulter, MD 9135 Sw Barnes Rd Ste 961, Portland, OR 97225-6699 Ph: (503) 292-0848

Reviews and Comments

Ophthalmology Doctors in Portland, OR

Amy Ying Tong, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1955 Nw Northrup St, Portland, OR 97209 Phone: 503-227-2020
Sungjae Yang, Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239 Phone: 503-494-5023
Dr. Michael David Straiko, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1040 Nw 22nd Ave Ste 200, Portland, OR 97210 Phone: 503-413-8202 Fax: 503-413-6937
Allison Rebecca Loh, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3375 Sw Terwilliger Blvd, Portland, OR 97239 Phone: 503-494-3000 Fax: 503-494-4286
John Carl Morrison, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 503-494-3000 Fax: 503-418-0843
Adam Marcus Hanif, Ophthalmology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3000 Fax: 503-494-4286
Mr. John Jah-hyun Koo, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3600 N. Interstate Avenue, Department Of Opthalmology, Portland, OR 97227 Phone: 503-331-6330 Fax: 503-571-5877

Dr Tyler Dallin Boulter, MD - Medicare Ophthalmology in Portland, OR