Mr Tanner Lee Frey, PHYSICIAN ASSISTANT in Provo, UT - Medicare Physician Assistant

Mr Tanner Lee Frey, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" physician in Provo, Utah. His current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 358-1076.

Mr Tanner Lee Frey is licensed to practice in Utah (license number 10931513-1206) 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 1164909479.

Contact Information

	Mr Tanner Lee Frey, PHYSICIAN ASSISTANT
	1034 N 500 W, Provo, UT 84604-3380
	(801) 358-1076
	Not Available

Physician's Profile

Full Name	Mr Tanner Lee Frey
Gender	Male
Speciality	Physician Assistant
Location	1034 N 500 W, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164909479
Provider Enumeration Date: 07/19/2018
Last Update Date: 07/13/2019

Medicare PECOS Information:

PECOS PAC ID: 9234464827
Enrollment ID: I20190718002934

Medical Identifiers

Medical identifiers for Mr Tanner Lee Frey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164909479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	1153249 (Utah)	Secondary
363A00000X	Physician Assistant	10931513-1206 (Utah)	Primary

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 Tanner Lee Frey 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 Tanner Lee Frey, PHYSICIAN ASSISTANT 245 W 500 N, Lindon, UT 84042-1302 Ph: (801) 358-1076	Mr Tanner Lee Frey, PHYSICIAN ASSISTANT 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 358-1076

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Mr Tanner Lee Frey, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Provo, UT