Tyler S Dennison, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3750 Issued in AZ

Practice address

595 N Dobson Rd Ste D65
Chandler, AZ 85224-4234

Phone

(480) 718-1300

Fax

(480) 545-7181

NPI assigned

Oct 25, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: tyler.dennison.1@19654.direct.athenahealth.com
• Direct secure messaging: tdennison@hmg.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  Medicare reassignment Care Compare group
• Charina Tecson MD PC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1689896094
  NPD (past)
• Concentra Primary Care of Arizona PA

  • Primary Care Clinic/Center
  • Mesa, AZ
  • NPI 1770844706
  NPD (past)
• Judy M Pinsonneault, D.O., P.C.

  • Primary Care Clinic/Center
  • Mesa, AZ
  • NPI 1013035211
  NPD (past)
• Val Vista Lakes Family Medicine, PC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1487605481

  Medical

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health at Home, LLC

  • Home Health Agency
  • Chandler, AZ
  • NPI 1831678218
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1508045600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7060",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467060",
            "telephone_number": "480-444-2017",
            "fax_number": "480-545-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD STE D65",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244234",
            "telephone_number": "480-718-1300",
            "fax_number": "480-545-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "TYLER",
        "middle_name": "S",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Denk, LAT, ATC
• Spencer Denna, PHARMD
• Savanna Denney
• Aleanida Dennis
• Breanna Dennis, OT
• Dentistry by the Nelsons, PLLC
• Tracee Ann Denton
• Cherish Deoliveira, PSY.D.
• Natasha N Deonarain, MD
• Nicole Deopere

• Medical Physician Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.