Tyler J Light, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Corvallis, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Corvallis Clinic Pc and his current practice location is
444 Nw Elks Dr, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 494-8311.
Tyler J Light is licensed to practice in * (Not Available) (license number ) 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 1003366808.
Physician's Profile
| Full Name | Tyler J Light |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 7 Years |
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| Location | 444 Nw Elks Dr, Corvallis, Oregon |
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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 J Light attended and graduated from Oregon Health Sciences University School Of Medicine in 2017
NPI Data:
- NPI Number: 1003366808
- Provider Enumeration Date: 10/05/2016
- Last Update Date: 05/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658641683
- Enrollment ID: I20220701002054
Medical Identifiers
Medical identifiers for Tyler J Light such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003366808 | NPI | - | NPPES |
| MD208155 | Other | OR | OREGON MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | MD208155 (Oregon) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Corvallis Clinic Pc | 1456244540 | 99 |
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 J Light allows following entities to bill medicare on his behalf.
| Entity Name | Corvallis Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649227265
PECOS PAC ID: 1456244540
Enrollment ID: O20040203000916 |
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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 J Light 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 J Light,
444 Nw Elks Dr,
Corvallis, OR 97330-3745
Ph: (541) 754-1150 | Tyler J Light,
444 Nw Elks Dr,
Corvallis, OR 97330-3758
Ph: (503) 494-8311 |
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