Tyson Kelly Travis, DO is a medicare enrolled "Orthopaedic Surgery" physician in Harrisonville, Missouri. His current practice location is
2820 E Rock Haven Rd Ste 120, Harrisonville, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 380-7662.
Tyson Kelly Travis is licensed to practice in Missouri (license number 2019035084) 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 1447660451.
Physician's Profile
| Full Name | Tyson Kelly Travis |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 2820 E Rock Haven Rd Ste 120, Harrisonville, Missouri |
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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: 1447660451
- Provider Enumeration Date: 04/29/2014
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052638020
- Enrollment ID: I20190607002224
Medical Identifiers
Medical identifiers for Tyson Kelly Travis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447660451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | DO192433 (Oregon) | Secondary |
| 207X00000X | Orthopaedic Surgery | SL1000 (Nevada) | Secondary |
| 207X00000X | Orthopaedic Surgery | 2019035084 (Missouri) | 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. Tyson Kelly Travis allows following entities to bill medicare on his behalf.
| Entity Name | University Professional Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
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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. Tyson Kelly Travis 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 Kelly Travis, DO 21200 S State Route Y, Belton, MO 64012-9101 Ph: (816) 738-9229 | Tyson Kelly Travis, DO 2820 E Rock Haven Rd Ste 120, Harrisonville, MO 64701-4413 Ph: (816) 380-7662 |
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