Mr Tyler Charles Lonsford, FNP is a medicare enrolled "Nurse Practitioner - Family" in Independence, Oregon. His current practice location is
1430 Monmouth St, Independence, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 917-2255.
Mr Tyler Charles Lonsford is licensed to practice in Oregon (license number 10007949) 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 1952090169.
Provider's Profile
Full Name | Mr Tyler Charles Lonsford |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 1430 Monmouth St, Independence, Oregon |
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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: 1952090169
- Provider Enumeration Date: 05/03/2023
- Last Update Date: 05/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062871973
- Enrollment ID: I20230710001599
Medical Identifiers
Medical identifiers for Mr Tyler Charles Lonsford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952090169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 10007949 (Oregon) | 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. Mr Tyler Charles Lonsford allows following entities to bill medicare on his behalf.
Entity Name | Salem Health West Valley |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830 |
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Entity Name | Salem Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
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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. Mr Tyler Charles Lonsford 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 |
Mr Tyler Charles Lonsford, FNP 1430 Monmouth St, Independence, OR 97351-1127 Ph: (503) 917-2255 | Mr Tyler Charles Lonsford, FNP 1430 Monmouth St, Independence, OR 97351-1127 Ph: (503) 917-2255 |
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