Tyson Noel Williams, PA-C is a medicare enrolled "Physician Assistant" physician in Fargo, North Dakota. He went to University Of North Dakota School Of Medicine and graduated in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sanford Medical Center Fargo, Plains Medical Clinic, Llc and his current practice location is
2801 University Dr S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 234-5673.
Tyson Noel Williams is licensed to practice in North Dakota (license number PAC1013) 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 1205512688.
Physician's Profile
| Full Name | Tyson Noel Williams |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 2801 University Dr S, Fargo, North Dakota |
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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:
- Tyson Noel Williams attended and graduated from University Of North Dakota School Of Medicine in 2023
NPI Data:
- NPI Number: 1205512688
- Provider Enumeration Date: 06/22/2023
- Last Update Date: 04/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 7517328099
- Enrollment ID: I20230822000440
Medical Identifiers
Medical identifiers for Tyson Noel Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205512688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | PA1013 (North Dakota) | Secondary |
| 363A00000X | Physician Assistant | PAC1013 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sanford Medical Center Fargo | 8426967803 | 1198 |
| Plains Medical Clinic, Llc | 5890787170 | 3 |
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. Tyson Noel Williams 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 |
|---|
Tyson Noel Williams, PA-C
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (605) 328-6585 | Tyson Noel Williams, PA-C
2801 University Dr S,
Fargo, ND 58103-6029
Ph: (701) 234-5673 |
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