Tyler Joshua Mitchum, DO - Medicare Family Medicine in Yukon, OK

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Tyler Joshua Mitchum, DO is a medicare enrolled "Family Medicine" physician in Yukon, Oklahoma. His current practice location is 1205 Health Center Pkwy Ste 100, Yukon, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 717-5400.

Tyler Joshua Mitchum is licensed to practice in Oklahoma (license number 7765) 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 1992375752.

Contact Information

Tyler Joshua Mitchum, DO
1205 Health Center Pkwy Ste 100,
Yukon, OK 73099-6396
(405) 717-5400
(405) 717-5467

Map and Direction




Physician's Profile

Full NameTyler Joshua Mitchum
GenderMale
SpecialityFamily Medicine
Location1205 Health Center Pkwy Ste 100, Yukon, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992375752
  • Provider Enumeration Date: 06/24/2021
  • Last Update Date: 08/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911449400
  • Enrollment ID: I20240612001956

Medical Identifiers

Medical identifiers for Tyler Joshua Mitchum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992375752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 7765 (Oklahoma)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. Tyler Joshua Mitchum allows following entities to bill medicare on his behalf.
Entity NameIntegris Ambulatory Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20041209000354

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. Tyler Joshua Mitchum 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
Tyler Joshua Mitchum, DO
3001 Quail Springs Pkwy Fl 5,
Oklahoma City, OK 73134-2640

Ph: (405) 717-5400		Tyler Joshua Mitchum, DO
1205 Health Center Pkwy Ste 100,
Yukon, OK 73099-6396

Ph: (405) 717-5400

Reviews and Comments


Family Medicine Doctors in Yukon, OK

Kyle W Rickner, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11 Palm Ave, Yukon, OK 73099
Phone: 405-350-5140    
Billy H. Sipes, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 520 S Mustang Rd, Yukon, OK 73099
Phone: 405-936-5910    Fax: 405-577-2605
James M Brown, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1491 Health Center Parkway, Yukon, OK 73099
Phone: 405-806-2200    Fax: 405-806-2207
Dr. Lydia J Dennis, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 520 S Mustang Rd, Yukon, OK 73099
Phone: 405-936-5910    Fax: 405-577-2605
Dr. Brian Emil Thatcher, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1205 Health Center Pkwy Ste 100, Yukon, OK 73099
Phone: 405-717-5400    Fax: 405-717-5467
Dr. Shea Pelham Pielsticker, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 709 N Czech Hall Rd, Yukon, OK 73099
Phone: 405-494-8600    Fax: 405-494-8600
William L Welden, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 436 S Mustang Rd, Yukon, OK 73099
Phone: 405-324-4000    Fax: 405-577-2328

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.