Tyson Summers, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Clackamas, OR

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Tyson Summers, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Clackamas, Oregon. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Noble Dreams Anesthesia, Llc and his current practice location is 10180 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 813-3860.

Tyson Summers is licensed to practice in Oregon (license number 201392028CRNA) 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 1679907323.

Contact Information

Tyson Summers, CRNA
10180 Se Sunnyside Rd,
Clackamas, OR 97015-8970
(503) 813-3860
Not Available

Map and Direction




Provider's Profile

Full NameTyson Summers
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location10180 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyson Summers graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1679907323
  • Provider Enumeration Date: 08/29/2013
  • Last Update Date: 08/29/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2466687835
  • Enrollment ID: I20131021001993

Medical Identifiers

Medical identifiers for Tyson Summers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679907323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 201392028CRNA (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Noble Dreams Anesthesia, Llc56980369453

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. Tyson Summers allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799
Entity NameSalem Health West Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245237486
PECOS PAC ID: 7810804630
Enrollment ID: O20040225000830
Entity NameMetropolitan Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720387954
PECOS PAC ID: 2860662996
Enrollment ID: O20110829000644
Entity NameComplete Anesthesia Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932464492
PECOS PAC ID: 7214187210
Enrollment ID: O20121029000661
Entity NameNoble Dreams Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750889804
PECOS PAC ID: 5698036945
Enrollment ID: O20180228002482
Entity NameAnesthetic Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477022259
PECOS PAC ID: 4587901129
Enrollment ID: O20190121001182

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. Tyson Summers 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
Tyson Summers, CRNA
16736 Sw Rogue River Ter,
Beaverton, OR 97006-7990

Ph: (865) 384-6465		Tyson Summers, CRNA
10180 Se Sunnyside Rd,
Clackamas, OR 97015-8970

Ph: (503) 813-3860

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Clackamas, OR

Jessica Dawn Sexton-dorsett,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-813-2000    
Natalie Christine Kramer, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-652-2880    
Linda Newbloom,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-652-2880    
Kyle Bowling,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-813-2000    
Kenneth E Allen, CRNA, MSA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-652-2880    
Mrs. Heidi Egan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-571-4698    
Mr. Craig G Kleiv, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-571-2617    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.