Tyrone Butler, MD is a medicare enrolled "Hospitalist" physician in Blue Ridge, Georgia. He graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Desert Valley Medical Group Inc and his current practice location is
2855 Old Highway 5, Blue Ridge, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 632-3711.
Tyrone Butler is licensed to practice in Georgia (license number 93993) 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 1861874612.
Physician's Profile
| Full Name | Tyrone Butler |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 10 Years |
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| Location | 2855 Old Highway 5, Blue Ridge, Georgia |
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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:
- Tyrone Butler graduated from medical school in 2015
NPI Data:
- NPI Number: 1861874612
- Provider Enumeration Date: 06/28/2015
- Last Update Date: 07/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183974918
- Enrollment ID: I20200106000006
Medical Identifiers
Medical identifiers for Tyrone Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861874612 | NPI | - | NPPES |
| 003278442C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | MD464568 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | 93993 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Desert Valley Medical Group Inc | 4880595875 | 70 |
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. Tyrone Butler allows following entities to bill medicare on his behalf.
| Entity Name | Desert Valley Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639117864
PECOS PAC ID: 4880595875
Enrollment ID: O20040113000803 |
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| Entity Name | Galen Inpatient Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689320459
PECOS PAC ID: 3678464633
Enrollment ID: O20040322000680 |
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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. Tyrone Butler 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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Tyrone Butler, MD
2855 Old Highway 5,
Blue Ridge, GA 30513-6248
Ph: (706) 632-3711 | Tyrone Butler, MD
2855 Old Highway 5,
Blue Ridge, GA 30513-6248
Ph: (706) 632-3711 |
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