Mr Jordan Tyler Foulger, PA - Medicare Physician Assistant in Draper, UT

Mr Jordan Tyler Foulger, PA is a medicare enrolled "Physician Assistant" in Draper, Utah. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Cobre Valley Regional Medical Center, Intermountain Healthcare Services, Inc and his current practice location is 12473 S Minuteman Dr, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 495-7970.

Mr Jordan Tyler Foulger is licensed to practice in Utah (license number 13574229-1206) 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 1417432063.

Contact Information

Mr Jordan Tyler Foulger, PA
12473 S Minuteman Dr,
Draper, UT 84020-7870
(801) 495-7970
(801) 495-7990

Map and Direction




Provider's Profile

Full NameMr Jordan Tyler Foulger
GenderMale
SpecialityPhysician Assistant
Experience6 Years
Location12473 S Minuteman Dr, Draper, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jordan Tyler Foulger graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1417432063
  • Provider Enumeration Date: 09/29/2018
  • Last Update Date: 03/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355681867
  • Enrollment ID: I20240310000109

Medical Identifiers

Medical identifiers for Mr Jordan Tyler Foulger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417432063NPI-NPPES
W238629531OtherAZAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 13574229-1206 (Utah)Primary
363A00000XPhysician Assistant (Arizona)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cobre Valley Regional Medical Center064818169331
Intermountain Healthcare Services, Inc18502094203228

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. Mr Jordan Tyler Foulger 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 AddressPractice Location Address
Mr Jordan Tyler Foulger, PA
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Mr Jordan Tyler Foulger, PA
12473 S Minuteman Dr,
Draper, UT 84020-7870

Ph: (801) 495-7970

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.