Mr Ty Preston Affleck, MD in Santa Rosa, CA

Mr Ty Preston Affleck, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Santa Rosa, California. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. His current practice location is 1255 N Dutton Ave, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 546-9400.

Mr Ty Preston Affleck is licensed to practice in California (license number G073843) 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 1306941083.

Contact Information

	Mr Ty Preston Affleck, MD
	1255 N Dutton Ave, Santa Rosa, CA 95401-4663
	(707) 546-9400
	(707) 546-9464

Map and Direction

Physician's Profile

Full Name	Mr Ty Preston Affleck
Gender	Male
Speciality	Family Practice
Experience	36 Years
Location	1255 N Dutton Ave, Santa Rosa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Ty Preston Affleck attended and graduated from Virginia Commonwealth University, School Of Medicine in 1988

NPI Data:

NPI Number: 1306941083
Provider Enumeration Date: 09/14/2006
Last Update Date: 05/11/2009

Medicare PECOS Information:

PECOS PAC ID: 8224192646
Enrollment ID: I20090130000124

Medical Identifiers

Medical identifiers for Mr Ty Preston Affleck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306941083	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	G073843 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital

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. Mr Ty Preston Affleck allows following entities to bill medicare on his behalf.

Entity Name	Santa Rosa Sports Medicine Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952555740 PECOS PAC ID: 9032273453 Enrollment ID: O20090130000131

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 Ty Preston Affleck 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 Ty Preston Affleck, MD 1255 N Dutton Ave, Santa Rosa, CA 95401-4663 Ph: (707) 546-9400	Mr Ty Preston Affleck, MD 1255 N Dutton Ave, Santa Rosa, CA 95401-4663 Ph: (707) 546-9400

Reviews and Comments

Family Medicine Doctors in Santa Rosa, CA

Dr. Lyman Bowen Greaves Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3569 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-303-3600 Fax: 707-303-3611
Ellen Betty Kruusmagi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4500 Fax: 707-544-4626
Dr. Lucia Dei Roncalli, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1010 Sundown Trl, Santa Rosa, CA 95404 Phone: 510-407-4697
Dr. Michael G Carlston, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2448 Guerneville Rd, Suite 900, Santa Rosa, CA 95403 Phone: 707-545-1554 Fax: 707-545-1595
Anthony K. Boyce, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Richard L. Holve, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Leo Arthur Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr, Suite G-04, Santa Rosa, CA 95405 Phone: 707-303-8360 Fax: 707-303-8361

Mr Ty Preston Affleck, MD - Medicare Family Practice in Santa Rosa, CA