Autumn Sue Ties, MD in Saint Paul, MN - Medicare Emergency Medicine

Autumn Sue Ties, MD is a medicare enrolled "Emergency Medicine" physician in Saint Paul, Minnesota. Her current practice location is 640 Jackson St, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 254-3456.

Autumn Sue Ties is licensed to practice in Minnesota (license number 74346) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871177501.

Contact Information

	Autumn Sue Ties, MD
	640 Jackson St, Saint Paul, MN 55101-2502
	(651) 254-3456
	Not Available

Map and Direction

Physician's Profile

Full Name	Autumn Sue Ties
Gender	Female
Speciality	Emergency Medicine
Location	640 Jackson St, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871177501
Provider Enumeration Date: 05/09/2021
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 4789079492
Enrollment ID: I20231127001517

Medical Identifiers

Medical identifiers for Autumn Sue Ties such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871177501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	74346 (Minnesota)	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. Autumn Sue Ties allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Entity Name	Regions Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511

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. Autumn Sue Ties 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
Autumn Sue Ties, MD 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-3456	Autumn Sue Ties, MD 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-3456

Reviews and Comments

Emergency Medicine Doctors in Saint Paul, MN

Dr. Katherine Glasrud, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 612-863-6590
Dr. Brian Thomas Gooley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8755
Gerald Fred Peterson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8755 Fax: 651-241-7154
Samantha Anne Wen, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, United Hospital, Saint Paul, MN 55102 Phone: 612-241-8755
Benjamin J Peake, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3666
Dr. Andrew Richard Zinkel, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson St, 11102f, Saint Paul, MN 55101 Phone: 651-254-5211 Fax: 651-254-5216
Emily M Thompson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-853-8800 Fax: 651-293-8106

Autumn Sue Ties, MD - Medicare Emergency Medicine in Saint Paul, MN