Ty W Lostutter, PHD - Medicare Psychologist in Seattle, WA

Ty W Lostutter, PHD is a medicare enrolled "Psychologist - Clinical" provider in Seattle, Washington. He went to University Of Washington School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice The Association Of University Physicians and his current practice location is 4225 Roosevelt Way Ne, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 598-7792.

Ty W Lostutter is licensed to practice in Washington (license number PY 60238397) 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 1013327055.

Contact Information

Ty W Lostutter, PHD
4225 Roosevelt Way Ne,
Seattle, WA 98105-6099
(206) 598-7792
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTy W Lostutter
GenderMale
SpecialityClinical Psychologist
Experience15 Years
Location4225 Roosevelt Way Ne, Seattle, Washington
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:
  • Ty W Lostutter attended and graduated from University Of Washington School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1013327055
  • Provider Enumeration Date: 04/29/2014
  • Last Update Date: 04/29/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2466676101
  • Enrollment ID: I20140715001079

Medical Identifiers

Medical identifiers for Ty W Lostutter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013327055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY 60238397 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Association Of University Physicians04461626973017

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. Ty W Lostutter allows following entities to bill medicare on his behalf.
Entity NameThe Association Of University Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023041159
PECOS PAC ID: 0446162697
Enrollment ID: O20031105000244

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. Ty W Lostutter 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
Ty W Lostutter, PHD
4225 Roosevelt Way Ne,
Seattle, WA 98105-6099

Ph: (206) 598-7792
Ty W Lostutter, PHD
4225 Roosevelt Way Ne,
Seattle, WA 98105-6099

Ph: (206) 598-7792

Reviews and Comments


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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.

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