Tyler R Williamson, MD in Mammoth Lakes, CA - Medicare Orthopedic Surgery

Tyler R Williamson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Mammoth Lakes, California. He went to New York University School Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Northern Inyo Healthcare District, Southern Mono Health Care District and his current practice location is 85 Sierra Park Rd, Mammoth Lakes, California. You can reach out to his office (for appointments etc.) via phone at (760) 924-4084.

Tyler R Williamson is licensed to practice in California (license number A177935) 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 1225561939.

Contact Information

	Tyler R Williamson, MD
	85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073
	(760) 924-4084
	Not Available

Map and Direction

Physician's Profile

Full Name	Tyler R Williamson
Gender	Male
Speciality	Orthopedic Surgery
Experience	9 Years
Location	85 Sierra Park Rd, Mammoth Lakes, California
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:

Tyler R Williamson attended and graduated from New York University School Of Medicine in 2017

NPI Data:

NPI Number: 1225561939
Provider Enumeration Date: 04/10/2017
Last Update Date: 08/08/2025

Medicare PECOS Information:

PECOS PAC ID: 2769751429
Enrollment ID: I20220810000779

Medical Identifiers

Medical identifiers for Tyler R Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225561939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	74344 (Minnesota)	Secondary
207XX0005X	Orthopaedic Surgery - Sports Medicine	74344 (Minnesota)	Secondary
207X00000X	Orthopaedic Surgery	A177935 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mammoth Hospital	Mammoth lakes, CA	Hospital
Northern Inyo Hospital	Bishop, CA	Hospital
Southern Inyo Hospital	Lone pine, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Inyo Healthcare District	8921992090	106
Southern Mono Health Care District	9830002401	93

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 R Williamson allows following entities to bill medicare on his behalf.

Entity Name	Southern Mono Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160

Entity Name	Tahoe Orthopedics & Sports Medicine, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902131287 PECOS PAC ID: 9537203351 Enrollment ID: O20100217000655

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 R Williamson 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
Tyler R Williamson, MD 4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841 Ph: (952) 512-5600	Tyler R Williamson, MD 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 Ph: (760) 924-4084

Reviews and Comments

Orthopaedic Surgery Doctors in Mammoth Lakes, CA

Kyle Anthony Minkel, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-934-3311
Collin Jeffrey Laporte, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-4084
Dr. Michael Karch, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-934-3311 Fax: 760-872-6790
Timothy S. Crall, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-934-3311 Fax: 760-872-6790

Tyler R Williamson, MD - Medicare Orthopedic Surgery in Mammoth Lakes, CA