Dr Michael Robert Tiso, MD is a medicare enrolled "Internal Medicine" physician in Granville, Ohio. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Osu Internal Medicine Llc, Osu Emergency Medicine Llc and his current practice location is
550 Chapel Dr, Granville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 587-6200.
Dr Michael Robert Tiso is licensed to practice in Ohio (license number 35.122274) 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 1326330440.
Physician's Profile
| Full Name | Dr Michael Robert Tiso |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 15 Years |
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| Location | 550 Chapel Dr, Granville, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Robert Tiso attended and graduated from State University Of New York At Buffalo School Of Medicine in 2011
NPI Data:
- NPI Number: 1326330440
- Provider Enumeration Date: 05/08/2011
- Last Update Date: 04/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 2860633203
- Enrollment ID: I20150630001577
Medical Identifiers
Medical identifiers for Dr Michael Robert Tiso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326330440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207PE0004X | Emergency Medicine - Emergency Medical Services | 35.122274 (Ohio) | Secondary |
| 207PS0010X | Emergency Medicine - Sports Medicine | 35.122274 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 35.122274 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Osu Internal Medicine Llc | 5496651408 | 1158 |
| Osu Emergency Medicine Llc | 2668386673 | 162 |
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 Michael Robert Tiso allows following entities to bill medicare on his behalf.
| Entity Name | Osu Emergency Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699705681
PECOS PAC ID: 2668386673
Enrollment ID: O20031114000120 |
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| Entity Name | Osu Internal Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740231448
PECOS PAC ID: 5496651408
Enrollment ID: O20031210000658 |
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| Entity Name | Osu Observation Medicine, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407095052
PECOS PAC ID: 3375692270
Enrollment ID: O20090526000354 |
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| Entity Name | Osu General Internal Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689919599
PECOS PAC ID: 7517103955
Enrollment ID: O20130409000603 |
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| Entity Name | Osup Community Outreach Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699179929
PECOS PAC ID: 5799008082
Enrollment ID: O20141217001070 |
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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. Dr Michael Robert Tiso 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 |
|---|
Dr Michael Robert Tiso, MD
700 Ackerman Rd Ste 2120,
Columbus, OH 43202-1559
Ph: (740) 587-6200 | Dr Michael Robert Tiso, MD
550 Chapel Dr,
Granville, OH 43023-6504
Ph: (740) 587-6200 |
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