Tyler Dean Spilman, OD is a medicare enrolled "Optometrist" provider in Dixon, California. His current practice location is
125 N Lincoln St Ste A, Dixon, California. You can reach out to his office (for appointments etc.) via phone at
(707) 678-3055.
Tyler Dean Spilman is licensed to practice in California (license number 35432TLG) 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 1942930599.
Healthcare Provider's Profile
Full Name | Tyler Dean Spilman |
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Gender | Male |
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Speciality | Optometrist |
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Location | 125 N Lincoln St Ste A, Dixon, California |
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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: 1942930599
- Provider Enumeration Date: 06/15/2022
- Last Update Date: 10/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628453149
- Enrollment ID: I20220920003039
Medical Identifiers
Medical identifiers for Tyler Dean Spilman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942930599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 35432TLG (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 Dean Spilman allows following entities to bill medicare on his behalf.
Provider Name | State Of New York Comptrollers Office |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1407829856 PECOS PAC ID: 0840101770 Enrollment ID: O20040514000118 |
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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 Dean Spilman 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 Dean Spilman, OD 1501 5th St Unit 547, Sacramento, CA 95814-5453 Ph: (916) 479-3518 | Tyler Dean Spilman, OD 125 N Lincoln St Ste A, Dixon, CA 95620-3259 Ph: (707) 678-3055 |
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