Tyler Hansen, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Dothan, Alabama. He went to Edward Via Col Of Osteo Medicine-carolinas Campus and graduated in 2015 and has 9 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice St Vincent's Ambulatory Care Inc and his current practice location is
102 Doctors Dr, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 793-8804.
Tyler Hansen is licensed to practice in Florida (license number OS18705) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447644356.
Physician's Profile
| Full Name | Tyler Hansen |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 9 Years |
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| Location | 102 Doctors Dr, Dothan, Alabama |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tyler Hansen attended and graduated from Edward Via Col Of Osteo Medicine-carolinas Campus in 2015
NPI Data:
- NPI Number: 1447644356
- Provider Enumeration Date: 03/28/2015
- Last Update Date: 06/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577862796
- Enrollment ID: I20220608000679
Medical Identifiers
Medical identifiers for Tyler Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447644356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | OS18705 (Florida) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | DO.2055 (Alabama) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Vincent's Ambulatory Care Inc | 2860411188 | 275 |
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 Hansen allows following entities to bill medicare on his behalf.
| Entity Name | St Vincent's Ambulatory Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430 |
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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 Hansen 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 |
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Tyler Hansen, DO
4205 Belfort Rd, Ste 1100,
Jacksonville, FL 32216-5876
Ph: (904) 450-8240 | Tyler Hansen, DO
102 Doctors Dr,
Dothan, AL 36301
Ph: (334) 793-8804 |
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