Tyler Morgan Reisdorph, DC, MS is a medicare enrolled "General Practice" physician in Kent, Washington. His current practice location is
13003 Se Kent Kangley Rd Ste 110, Kent, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 638-2424.
Tyler Morgan Reisdorph is licensed to practice in Washington (license number CH61137180) 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 1851976104.
Physician's Profile
Full Name | Tyler Morgan Reisdorph |
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Gender | Male |
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Speciality | General Practice |
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Location | 13003 Se Kent Kangley Rd Ste 110, Kent, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851976104
- Provider Enumeration Date: 03/17/2021
- Last Update Date: 03/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 0143623769
- Enrollment ID: I20210720002906
Medical Identifiers
Medical identifiers for Tyler Morgan Reisdorph such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851976104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | CH61137180 (Washington) | 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 Morgan Reisdorph allows following entities to bill medicare on his behalf.
Entity Name | Pearson Chiropractic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235337940 PECOS PAC ID: 0648262428 Enrollment ID: O20040401000255 |
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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 Morgan Reisdorph 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 Morgan Reisdorph, DC, MS 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030-7919 Ph: (253) 638-2424 | Tyler Morgan Reisdorph, DC, MS 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030-7919 Ph: (253) 638-2424 |
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