Tyler Fanning, MD in Corvallis, OR - Medicare Psychiatry & Neurology

Tyler Fanning, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Corvallis, Oregon. His current practice location is 1112 Nw Circle Blvd, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 768-5235.

Tyler Fanning is licensed to practice in Oregon (license number MD216942) 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 1760987473.

Contact Information

	Tyler Fanning, MD
	1112 Nw Circle Blvd, Corvallis, OR 97330-1462
	(541) 768-5235
	Not Available

Map and Direction

Physician's Profile

Full Name	Tyler Fanning
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	1112 Nw Circle Blvd, Corvallis, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760987473
Provider Enumeration Date: 03/26/2018
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 2668736281
Enrollment ID: I20201015000220

Medical Identifiers

Medical identifiers for Tyler Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760987473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD216942 (Oregon)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	042.0014873 (Vermont)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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 Fanning allows following entities to bill medicare on his behalf.

Entity Name	Central Vermont Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831374362 PECOS PAC ID: 9335138817 Enrollment ID: O20040510001034

Entity Name	Central Vermont Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393

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 Fanning 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
Tyler Fanning, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () -	Tyler Fanning, MD 1112 Nw Circle Blvd, Corvallis, OR 97330-1462 Ph: (541) 768-5235

Reviews and Comments

Psychiatry & Neurology Doctors in Corvallis, OR

Dr. Stephanie Anne Axman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3509 Nw Samaritan Dr Ste 215, Corvallis, OR 97330 Phone: 541-768-5235
Dr. Samantha Anne May, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906
Dr. Daryl Bryce Downey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2075 Nw Grant Ave, Corvallis, OR 97330 Phone: 541-758-5365
Zane Curtis, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111
Dr. Jennifer Brown, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906
Thien Chuong Richard Ly, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1112 Nw Circle Blvd, Corvallis, OR 97330 Phone: 541-768-1221
Kelly Shaffer, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906

Tyler Fanning, MD - Medicare Psychiatry & Neurology in Corvallis, OR