Richard J Mynatt, MD is a medicare enrolled "Urology" physician in Crossville, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Urology. He is a member of the group practice Sunnyside Community Hospital Association and his current practice location is
49 Cleveland St Ste 310, Crossville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 459-7720.
Richard J Mynatt is licensed to practice in Tennessee (license number 61647) 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 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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| Experience | 47 Years |
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| Location | 49 Cleveland St Ste 310, Crossville, Tennessee |
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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:
- Richard J Mynatt attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1977
NPI Data:
- NPI Number: 1568487627
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/21/2022
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 |
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| 1568487627 | NPI | - | NPPES |
| 8961719 | Medicaid | NC | |
| Q060435 | Medicaid | TN | |
| 080427 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | E-8938 (Arkansas) | Secondary |
| 208800000X | Urology | 51180 (Arizona) | Secondary |
| 208800000X | Urology | 24468 (North Carolina) | Secondary |
| 208800000X | Urology | 61647 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sunnyside Community Hospital Association | 1658280896 | 43 |
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 |
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Richard J Mynatt, MD
49 Cleveland St Ste 310,
Crossville, TN 38555-2854
Ph: (931) 459-7720 | Richard J Mynatt, MD
49 Cleveland St Ste 310,
Crossville, TN 38555-2854
Ph: (931) 459-7720 |
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