Tynese Simone Anderson, MD in Gary, IN - Medicare Family Medicine

Tynese Simone Anderson, MD is a medicare enrolled "Family Medicine" physician in Gary, Indiana. Her current practice location is 1021 W 5th Ave, Gary, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 880-1190.

Tynese Simone Anderson is licensed to practice in Indiana (license number 01084389A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528327731.

Contact Information

	Tynese Simone Anderson, MD
	1021 W 5th Ave, Gary, IN 46402-1703
	(219) 880-1190
	(219) 378-7147

Map and Direction

Physician's Profile

Full Name	Tynese Simone Anderson
Gender	Female
Speciality	Family Medicine
Location	1021 W 5th Ave, Gary, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528327731
Provider Enumeration Date: 05/08/2012
Last Update Date: 01/29/2021

Medicare PECOS Information:

PECOS PAC ID: 4880822410
Enrollment ID: I20200824002352

Medical Identifiers

Medical identifiers for Tynese Simone Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528327731	NPI	-	NPPES
300042215	Other	IN	INDIANA LPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01084389A (Indiana)	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. Tynese Simone Anderson allows following entities to bill medicare on her behalf.

Entity Name	Community Healthnet Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952332298 PECOS PAC ID: 6305852344 Enrollment ID: O20060228000318

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. Tynese Simone Anderson 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
Tynese Simone Anderson, MD 1021 W 5th Ave, Gary, IN 46402-1703 Ph: (219) 880-1190	Tynese Simone Anderson, MD 1021 W 5th Ave, Gary, IN 46402-1703 Ph: (219) 880-1190

Reviews and Comments

Family Medicine Doctors in Gary, IN

Janet Seabrook, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1021 W 5th Ave, Gary, IN 46402 Phone: 219-880-1190 Fax: 219-880-0784
Adeyemi Oluremi Oyegbade, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2269 W 25th Ave, Gary, IN 46404 Phone: 199-444-1872 Fax: 219-944-4186
Geoffrey Okechukwu Onyeukwu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3814 Grant Street, Gary, IN 46408 Phone: 219-884-3447 Fax: 219-884-3512
Hanifa Waarith, Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 Broadway, Gary, IN 46407 Phone: 219-882-0980
Melvin D Richardson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 W 5th Ave, Gary, IN 46402 Phone: 219-880-1190 Fax: 219-880-0784
Mr. Nathaniel T Ross, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 W 5th Ave, Gary, IN 46404 Phone: 219-886-4788 Fax: 219-886-4106
Ms. Rachael L Ross, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1619 W 5th Ave, Gary, IN 46404 Phone: 219-886-4788 Fax: 219-886-4106

Tynese Simone Anderson, MD - Medicare Family Medicine in Gary, IN