Tyler R Williamson, MD in Plymouth, MN - Medicare Sports Medicine

Tyler R Williamson, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Plymouth, Minnesota. He went to New York University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Infinite Health Collaborative Pa and his current practice location is 16800 37th Pl N, Ste 200, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (635) 207-8707.

Tyler R Williamson is licensed to practice in Minnesota (license number 74344) 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 1225561939.

Contact Information

	Tyler R Williamson, MD
	16800 37th Pl N, Ste 200, Plymouth, MN 55446
	(635) 207-8707
	(763) 520-7580

Map and Direction

Physician's Profile

Full Name	Tyler R Williamson
Gender	Male
Speciality	Sports Medicine
Experience	7 Years
Location	16800 37th Pl N, Plymouth, Minnesota
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:

Tyler R Williamson attended and graduated from New York University School Of Medicine in 2017

NPI Data:

NPI Number: 1225561939
Provider Enumeration Date: 04/10/2017
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 2769751429
Enrollment ID: I20230911002681

Medical Identifiers

Medical identifiers for Tyler R Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225561939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	74344 (Minnesota)	Secondary
207XX0005X	Orthopaedic Surgery - Sports Medicine	74344 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Maple Grove Hospital	Maple grove, MN	Hospital
North Memorial Health	Robbinsdale, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Infinite Health Collaborative Pa	1052225042	772

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. Tyler R Williamson allows following entities to bill medicare on his behalf.

Entity Name	Infinite Health Collaborative Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574

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 R 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 Address	Practice Location Address
Tyler R Williamson, MD 4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841 Ph: (952) 512-5600	Tyler R Williamson, MD 16800 37th Pl N, Ste 200, Plymouth, MN 55446 Ph: (635) 207-8707

Reviews and Comments

Orthopaedic Surgery Doctors in Plymouth, MN

Richard M Salib, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 Fax: 651-968-5904
Dr. Roman Gabriel Guerrero-maestre, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201
Dr. Edward Rainier Gamboa Santos, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 Fax: 651-968-5904
Mr. Thomas F. Varecka, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2805 Campus Dr, Ste 425, Plymouth, MN 55441 Phone: 763-383-0770 Fax: 763-383-0777
Andrew Brooks, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 Fax: 651-968-5903
Jeffrey S Pinto, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 Fax: 651-968-5904

Tyler R Williamson, MD - Medicare Sports Medicine in Plymouth, MN