Tyler J Etheridge, MD in Salt Lake City, UT - Medicare Ophthalmology

Tyler J Etheridge, MD is a medicare enrolled "Ophthalmology" physician in Salt Lake City, Utah. His current practice location is 65 S Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 585-6701.

Tyler J Etheridge is licensed to practice in Utah (license number 12403679-1205) 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 1518595958.

Contact Information

	Tyler J Etheridge, MD
	65 S Mario Capecchi Dr, Salt Lake City, UT 84132-0005
	(801) 585-6701
	Not Available

Physician's Profile

Full Name	Tyler J Etheridge
Gender	Male
Speciality	Ophthalmology
Location	65 S Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518595958
Provider Enumeration Date: 03/31/2020
Last Update Date: 09/20/2021

Medicare PECOS Information:

PECOS PAC ID: 5092110296
Enrollment ID: I20210826001745

Medical Identifiers

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

Identifier	Type	State	Issuer
1518595958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	12403679-1205 (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. Tyler J Etheridge 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 J Etheridge, MD 65 S Mario Capecchi Dr, Salt Lake City, UT 84132-0005 Ph: (801) 585-6701	Tyler J Etheridge, MD 65 S Mario Capecchi Dr, Salt Lake City, UT 84132-0005 Ph: (801) 585-6701

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Ophthalmology Doctors in Salt Lake City, UT

Douglas P Marx, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4400 S 700 E Ste 130, Salt Lake City, UT 84107 Phone: 801-264-4420 Fax: 801-266-0604
Dr. Eileen Hwang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 S Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-581-2352
Paul S. Bernstein, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2352
Dr. Francis John Wapner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1250 E 3900 S, #310, Salt Lake City, UT 84124 Phone: 801-263-2020 Fax: 801-263-2229
Dr. James G Howard, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107 Phone: 801-312-2020 Fax: 801-312-2022
Marielle Payne Young, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-581-2352
Dr. Rachel S Benator, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1025 E 3300 S, Ste B, Salt Lake City, UT 84106 Phone: 801-281-2020 Fax: 801-487-3689

Tyler J Etheridge, MD - Medicare Ophthalmology in Salt Lake City, UT