Tyler Williamson, PA - Medicare Physician Assistant in Sandy, UT

Tyler Williamson, PA is a medicare enrolled "Physician Assistant" in Sandy, Utah. His current practice location is 580 E 9400 S, 103, Sandy, Utah. You can reach out to his office (for appointments etc.) via phone at (225) 939-8180.

Tyler Williamson is licensed to practice in * (Not Available) (license number ) 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 1255744017.

Contact Information

Tyler Williamson, PA
580 E 9400 S, 103,
Sandy, UT 84070-8407
(225) 939-8180
Not Available



Provider's Profile

Full NameTyler Williamson
GenderMale
SpecialityPhysician Assistant
Location580 E 9400 S, Sandy, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255744017
  • Provider Enumeration Date: 06/09/2014
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2860611787
  • Enrollment ID: I20140908002166

Medical Identifiers

Medical identifiers for Tyler Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255744017NPI-NPPES
9066323-1206OtherUTDIVISION OF PROFESSIONAL LICENSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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 Williamson 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
Tyler Williamson, PA
580 E 9400 S # 103,
Sandy, UT 84070-6237

Ph: (225) 939-8180
Tyler Williamson, PA
580 E 9400 S, 103,
Sandy, UT 84070-8407

Ph: (225) 939-8180

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Physician Assistant Nurses in Sandy, UT

Wei Ting Chao,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 385 W 9000 S, Sandy, UT 84070
Phone: 801-562-5200    
Bryan A Clark, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9844 S 1300 E, Ste 275, Sandy, UT 84094
Phone: 801-571-7061    Fax: 801-571-9277
Desiree Deon Clark, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9600 S 1300 E Ste 240, Sandy, UT 84094
Phone: 801-965-3600    
Megan Lancaster, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7998 S 1300 E, Sandy, UT 84094
Phone: 801-255-2000    Fax: 801-325-7185
Mr. Gordon Lynn Day, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9665 S 1835 E, Sandy, UT 84092
Phone: 801-879-3331    Fax: 801-576-4285
Travis Cook,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9450 S 1300 E, 120, Sandy, UT 84094
Phone: 801-501-6150    

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