William Dyrk Halstead, MD is a medicare enrolled "Emergency Medicine" physician in Tullahoma, Tennessee. He went to West Virginia University School Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Doctors Urgent Care Llc and his current practice location is
1801 N Jackson St, Tullahoma, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 393-3000.
William Dyrk Halstead is licensed to practice in Tennessee (license number 14889) 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 1912953688.
Physician's Profile
| Full Name | William Dyrk Halstead |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 43 Years |
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| Location | 1801 N Jackson St, Tullahoma, Tennessee |
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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:
- William Dyrk Halstead attended and graduated from West Virginia University School Of Medicine in 1982
NPI Data:
- NPI Number: 1912953688
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 11/07/2007
Medicare PECOS Information:
- PECOS PAC ID: 1759353980
- Enrollment ID: I20040809001143
Medical Identifiers
Medical identifiers for William Dyrk Halstead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912953688 | NPI | - | NPPES |
| P00254188 | Other | TN | MEDICARE RAILROAD |
| 3002115 | Medicaid | TN | |
| 4039161 | Other | TN | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 14889 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Doctors Urgent Care Llc | 1658496799 | 3 |
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. William Dyrk Halstead allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997 |
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| Entity Name | Doctors Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184944407
PECOS PAC ID: 1658496799
Enrollment ID: O20100914000313 |
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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. William Dyrk Halstead 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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William Dyrk Halstead, MD
Po Box 634706,
Cincinnati, OH 45263-0001
Ph: () - | William Dyrk Halstead, MD
1801 N Jackson St,
Tullahoma, TN 37388-2201
Ph: (931) 393-3000 |
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