Mr Tyler Wilson Clemmensen, in Birmingham, AL

Mr Tyler Wilson Clemmensen, is a medicare enrolled "Pathology - Anatomic Pathology" physician in Birmingham, Alabama. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Pathology Associates Of Alabama and his current practice location is 625 19th St S, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 934-4303.

Mr Tyler Wilson Clemmensen is licensed to practice in Alabama (license number 35415) 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 1265852107.

Contact Information

	Mr Tyler Wilson Clemmensen,
	625 19th St S, Birmingham, AL 35249
	(205) 934-4303
	(205) 934-5499

Map and Direction

Physician's Profile

Full Name	Mr Tyler Wilson Clemmensen
Gender	Male
Speciality	Pathology
Experience	11 Years
Location	625 19th St S, Birmingham, Alabama
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:

Mr Tyler Wilson Clemmensen attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2014

NPI Data:

NPI Number: 1265852107
Provider Enumeration Date: 04/18/2014
Last Update Date: 05/01/2019

Medicare PECOS Information:

PECOS PAC ID: 1456648435
Enrollment ID: I20190604002702

Medical Identifiers

Medical identifiers for Mr Tyler Wilson Clemmensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265852107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	35415 (Alabama)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207ZP0101X	Pathology - Anatomic Pathology	35415 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grandview Medical Center	Birmingham, AL	Hospital
Walker Baptist Medical Center	Jasper, AL	Hospital
Princeton Baptist Medical Center	Birmingham, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pathology Associates Of Alabama	0941293864	8

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. Mr Tyler Wilson Clemmensen allows following entities to bill medicare on his behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

Entity Name	Pathology Associates Of Alabama
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396815536 PECOS PAC ID: 0941293864 Enrollment ID: O20040406001534

Entity Name	Gastroenterology Associates Of North-central Alabama Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528080595 PECOS PAC ID: 3072591478 Enrollment ID: O20040712001151

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. Mr Tyler Wilson Clemmensen 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
Mr Tyler Wilson Clemmensen, 625 19th St S, Birmingham, AL 35249 Ph: () -	Mr Tyler Wilson Clemmensen, 625 19th St S, Birmingham, AL 35249 Ph: (205) 934-4303

Reviews and Comments

Pathology Doctors in Birmingham, AL

Leona Council, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-5038
Dr. Alexander Wong, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3550 Independence Dr, Birmingham, AL 35209 Phone: 205-949-2806 Fax: 205-949-2875
Dr. Jonathan G Phillips, MD Pathology Medicare: Medicare Enrolled Practice Location: 924 Montclair Rd, Ste 200, Birmingham, AL 35213 Phone: 205-591-7999 Fax: 205-591-5051
Thomas S Winokur, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-6600
Isam Eltoum, Pathology Medicare: Accepting Medicare Assignments Practice Location: 2000 6th Ave S, Birmingham, AL 35233 Phone: 205-934-9999
Dr. Warren Jefferson Clingan Iii, MD Pathology Medicare: Medicare Enrolled Practice Location: 924 Montclair Rd Ste 200, Birmingham, AL 35213 Phone: 205-591-7999 Fax: 205-591-5051
Dr. Hayward Savage Edmunds Jr., M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 924 Montclair Rd, Suite 200, Birmingham, AL 35213 Phone: 205-591-7999 Fax: 205-591-5051

Mr Tyler Wilson Clemmensen, - Medicare Pathology in Birmingham, AL