Tyler Weber, PMHNP-BC in Phoenix, AZ - Medicare Nurse Practitioner

Tyler Weber, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. His current practice location is 2373 W Shackleton Dr, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 695-9641.

Tyler Weber is licensed to practice in Arizona (license number 289899) 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 1457056582.

Contact Information

	Tyler Weber, PMHNP-BC
	2373 W Shackleton Dr, Phoenix, AZ 85086-2345
	(623) 695-9641
	Not Available

Map and Direction

Provider's Profile

Full Name	Tyler Weber
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2373 W Shackleton Dr, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457056582
Provider Enumeration Date: 03/30/2023
Last Update Date: 03/30/2023

Medicare PECOS Information:

PECOS PAC ID: 3072978964
Enrollment ID: I20230427003008

Medical Identifiers

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

Identifier	Type	State	Issuer
1457056582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	289899 (Arizona)	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 Weber allows following entities to bill medicare on his behalf.

Entity Name	Mind 247 Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902472467 PECOS PAC ID: 6406253541 Enrollment ID: O20210916001566

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 Weber 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 Weber, PMHNP-BC 2373 W Shackleton Dr, Phoenix, AZ 85086-2345 Ph: (623) 695-9641	Tyler Weber, PMHNP-BC 2373 W Shackleton Dr, Phoenix, AZ 85086-2345 Ph: (623) 695-9641

Reviews and Comments

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Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919

Tyler Weber, PMHNP-BC - Medicare Nurse Practitioner in Phoenix, AZ