Andrew Tutor, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Memphis, Tennessee. His current practice location is
1265 Union Ave, Thomas Wing, 7th Floor, Rm 707, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 516-8675.
Andrew Tutor 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 1306465711.
Physician's Profile
| Full Name | Andrew Tutor |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1265 Union Ave, Memphis, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306465711
- Provider Enumeration Date: 04/15/2020
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537590054
- Enrollment ID: I20240920000785
Medical Identifiers
Medical identifiers for Andrew Tutor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306465711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 1022429 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Andrew Tutor allows following entities to bill medicare on his behalf.
| Entity Name | Mid-south Imaging & Therapeutics, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043260763
PECOS PAC ID: 9133106396
Enrollment ID: O20170124002448 |
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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. Andrew Tutor 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 |
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Andrew Tutor,
3323 Shea Oaks Cv,
Collierville, TN 38017-3632
Ph: (901) 832-6663 | Andrew Tutor,
1265 Union Ave, Thomas Wing, 7th Floor, Rm 707,
Memphis, TN 38104
Ph: (901) 516-8675 |
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