Tyler Joseph Sevco, in Los Angeles, CA

Tyler Joseph Sevco, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Los Angeles, California. His current practice location is 757 Westwood Plz, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 825-9111.

Tyler Joseph Sevco is licensed to practice in California (license number A175465) 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 1790210961.

Contact Information

	Tyler Joseph Sevco,
	757 Westwood Plz, Los Angeles, CA 90095-3410
	(310) 825-9111
	Not Available

Map and Direction

Physician's Profile

Full Name	Tyler Joseph Sevco
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	757 Westwood Plz, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790210961
Provider Enumeration Date: 04/25/2017
Last Update Date: 07/12/2022

Medicare PECOS Information:

PECOS PAC ID: 7416226204
Enrollment ID: I20220613001351

Medical Identifiers

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

Identifier	Type	State	Issuer
1790210961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A175465 (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 Joseph Sevco allows following entities to bill medicare on his behalf.

Entity Name	Ucla Radiology Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881670248 PECOS PAC ID: 8921902065 Enrollment ID: O20031120001026

Entity Name	California Managed Imaging Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821271727 PECOS PAC ID: 9436229887 Enrollment ID: O20080528000575

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538

Entity Name	Martin Luther King Jr Community Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

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 Joseph Sevco 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 Joseph Sevco, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Tyler Joseph Sevco, 757 Westwood Plz, Los Angeles, CA 90095-3410 Ph: (310) 825-9111

Reviews and Comments

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Tyler Joseph Sevco, - Medicare Radiology in Los Angeles, CA