Dr Bruce Randolph Tizes, MD - Medicare Internal Medicine in New York, NY

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Dr Bruce Randolph Tizes, MD is a medicare enrolled "Internal Medicine" physician in New York, New York. His current practice location is 2112 Broadway, Suite 6f, New York, New York. You can reach out to his office (for appointments etc.) via phone at (312) 513-6930.

Dr Bruce Randolph Tizes is licensed to practice in New York (license number 160717) 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 1588942379.

Contact Information

Dr Bruce Randolph Tizes, MD
2112 Broadway, Suite 6f,
New York, NY 10023-2105
(312) 513-6930
Not Available

Map and Direction




Physician's Profile

Full NameDr Bruce Randolph Tizes
GenderMale
SpecialityInternal Medicine
Location2112 Broadway, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588942379
  • Provider Enumeration Date: 07/27/2011
  • Last Update Date: 07/27/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2163661281
  • Enrollment ID: I20130621000439

Medical Identifiers

Medical identifiers for Dr Bruce Randolph Tizes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588942379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 160717 (New York)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. Dr Bruce Randolph Tizes allows following entities to bill medicare on his behalf.
Entity NameCherokee Indian Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770662348
PECOS PAC ID: 2062320393
Enrollment ID: O20031105000726
Entity NameChoctaw Nation of Oklahoma
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659347623
PECOS PAC ID: 1759294838
Enrollment ID: O20031106000326
Entity NamePine Ridge Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966
Entity NameMississippi Band of Choctaw Indians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790865780
PECOS PAC ID: 4385546662
Enrollment ID: O20040126000871
Entity NameSan Carlos Apache Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265813075
PECOS PAC ID: 0648580597
Enrollment ID: O20151105002091

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. Dr Bruce Randolph Tizes 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
Dr Bruce Randolph Tizes, MD
2112 Broadway, Suite 6f,
New York, NY 10023-2105

Ph: (312) 513-6930		Dr Bruce Randolph Tizes, MD
2112 Broadway, Suite 6f,
New York, NY 10023-2105

Ph: (312) 513-6930

Reviews and Comments


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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.