Autumn Sue Ties, MD in Apple Valley, MN - Medicare Emergency Medicine

Autumn Sue Ties, MD is a medicare enrolled "Emergency Medicine" physician in Apple Valley, Minnesota. Her current practice location is 15350 English Ave, Apple Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 853-8800.

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
	15350 English Ave, Apple Valley, MN 55124-6252
	(952) 853-8800
	Not Available

Map and Direction

Physician's Profile

Full Name	Autumn Sue Ties
Gender	Female
Speciality	Emergency Medicine
Location	15350 English Ave, Apple Valley, 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: 10/08/2024

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 15350 English Ave, Apple Valley, MN 55124-6252 Ph: (952) 853-8800

Reviews and Comments

Emergency Medicine Doctors in Apple Valley, MN

Patricia M Cook, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966
Lawrence Deshaw, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966
Kimberly S Glynn, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966
Keith A Allen, MBCHBBAO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15746 Fremont Way, Apple Valley, MN 55124 Phone: 715-205-6789
Dr. Marven G Ewen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-431-8500 Fax: 952-431-8598

Autumn Sue Ties, MD - Medicare Emergency Medicine in Apple Valley, MN