Tyre K Jones Iv, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Essexville, Michigan. His current practice location is
1579 Wedgewood Pl, Essexville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 891-0598.
Tyre K Jones Iv is licensed to practice in Michigan (license number 4301061400) 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 1821069196.
Physician's Profile
| Full Name | Tyre K Jones Iv |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 1579 Wedgewood Pl, Essexville, Michigan |
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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: 1821069196
- Provider Enumeration Date: 01/27/2006
- Last Update Date: 05/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 4082694583
- Enrollment ID: I20040724000037
Medical Identifiers
Medical identifiers for Tyre K Jones Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821069196 | NPI | - | NPPES |
| 4409112 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 4301061400 (Michigan) | 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. Tyre K Jones Iv allows following entities to bill medicare on his behalf.
| Entity Name | Mymichigan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689623506 PECOS PAC ID: 4981501939 Enrollment ID: O20060727000013 |
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| Entity Name | F&s Radiology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518299957 PECOS PAC ID: 3678697836 Enrollment ID: O20160822000291 |
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| Entity Name | Imaging Associates Of Michigan Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164943007 PECOS PAC ID: 9537434386 Enrollment ID: O20171005000049 |
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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. Tyre K Jones Iv 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 |
Tyre K Jones Iv, 1579 Wedgewood Pl, Essexville, MI 48732-3203 Ph: (989) 891-0598 | Tyre K Jones Iv, 1579 Wedgewood Pl, Essexville, MI 48732 Ph: (989) 891-0598 |
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