Dr Andrew Tyson, MD in Kingsport, TN

Dr Andrew Tyson, MD is a medicare enrolled "Hospitalist" physician in Kingsport, Tennessee. He went to East Carolina University School Of Dentistry and graduated in 2017 and has 7 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Southeastern Physician Services Pc and his current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-3629.

Dr Andrew Tyson is licensed to practice in Tennessee (license number 62080) 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 1770018921.

Contact Information

	Dr Andrew Tyson, MD
	130 W Ravine Rd, Kingsport, TN 37660-3837
	(423) 224-3629
	(423) 224-4698

Map and Direction

Physician's Profile

Full Name	Dr Andrew Tyson
Gender	Male
Speciality	Hospitalist
Experience	7 Years
Location	130 W Ravine Rd, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Andrew Tyson attended and graduated from East Carolina University School Of Dentistry in 2017

NPI Data:

NPI Number: 1770018921
Provider Enumeration Date: 04/25/2017
Last Update Date: 12/29/2020

Medicare PECOS Information:

PECOS PAC ID: 7113298407
Enrollment ID: I20210104000484

Medical Identifiers

Medical identifiers for Dr Andrew Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770018921	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	62080 (Tennessee)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208M00000X	Hospitalist	62080 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Physician Services Pc	0042307852	499

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. Dr Andrew Tyson allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

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. Dr Andrew Tyson 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
Dr Andrew Tyson, MD 509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579 Ph: (423) 302-6565	Dr Andrew Tyson, MD 130 W Ravine Rd, Kingsport, TN 37660-3837 Ph: (423) 224-3629

Reviews and Comments

Hospitalist Doctors in Kingsport, TN

Patrina Nicolyn Cradic, FNP-C Hospitalist Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000
Jessica Machue, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 102 E Ravine Rd, Kingsport, TN 37660 Phone: 423-245-9600
Mr. Naveed H Memon, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-230-8502
Jamie Kendall Bartley, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660 Phone: 423-857-5905 Fax: 423-857-5904
Dr. Dennis Starr, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-282-1480 Fax: 423-928-1353
Dr. Mircea Boiciuc, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660 Phone: 423-857-2793 Fax: 423-578-8025
Dr. Vitaly Nazarov, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-230-8502

Dr Andrew Tyson, MD - Medicare Hospitalist in Kingsport, TN