Richard J Mynatt, MD is a medicare enrolled "Urology" physician in Sunnyside, Washington. His current practice location is
500 S 11th St, Sunnyside, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 837-7722.
Richard J Mynatt is licensed to practice in Tennessee (license number 61647) 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 1568487627.
Physician's Profile
| Full Name | Richard J Mynatt |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 500 S 11th St, Sunnyside, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568487627
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 03/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305732199
- Enrollment ID: I20120719000073
Medical Identifiers
Medical identifiers for Richard J Mynatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568487627 | NPI | - | NPPES |
| 080427 | Medicaid | AZ | |
| Q060435 | Medicaid | TN | |
| 8961719 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | E-8938 (Arkansas) | Secondary |
| 208800000X | Urology | 51180 (Arizona) | Secondary |
| 208800000X | Urology | 24468 (North Carolina) | Secondary |
| 208800000X | Urology | 61647 (Tennessee) | 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. Richard J Mynatt allows following entities to bill medicare on his behalf.
| Entity Name | Sunnyside Community Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609395060 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
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| Entity Name | Shc Medical Center Toppenish |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1851817308 PECOS PAC ID: 4082980065 Enrollment ID: O20171018001921 |
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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. Richard J Mynatt 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 |
Richard J Mynatt, MD Po Box 719, Sunnyside, WA 98944-0719 Ph: (509) 837-1617 | Richard J Mynatt, MD 500 S 11th St, Sunnyside, WA 98944-2240 Ph: (509) 837-7722 |
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