Dr Britton Edgett Tisdale, MD, BSCPHM is a medicare enrolled "Urology" physician in Amherst, New York. His current practice location is
36 Nature Cove Ct, Amherst, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 319-8113.
Dr Britton Edgett Tisdale is licensed to practice in New York (license number 271542) 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 1679888606.
Physician's Profile
Full Name | Dr Britton Edgett Tisdale |
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Gender | Male |
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Speciality | Urology |
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Location | 36 Nature Cove Ct, Amherst, New York |
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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: 1679888606
- Provider Enumeration Date: 08/14/2010
- Last Update Date: 08/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 7517138829
- Enrollment ID: I20110919000115
Medical Identifiers
Medical identifiers for Dr Britton Edgett Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679888606 | NPI | - | NPPES |
1916947 | Other | NY | IHA |
652569 | Other | NY | WELLCARE |
3383479 | Medicaid | NY | |
533379001 | Other | NY | BLUE CROSS |
29695201 | Other | NY | UNIVERA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 0116021688 (Virginia) | Secondary |
208800000X | Urology | 003851 (New York) | Secondary |
208800000X | Urology | 271542 (New York) | 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. Dr Britton Edgett Tisdale allows following entities to bill medicare on his behalf.
Entity Name | Kaleida Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366473183 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212 |
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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. Dr Britton Edgett Tisdale 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 Britton Edgett Tisdale, MD, BSCPHM 36 Nature Cove Ct, Amherst, NY 14221-1978 Ph: (716) 319-8113 | Dr Britton Edgett Tisdale, MD, BSCPHM 36 Nature Cove Ct, Amherst, NY 14221-1978 Ph: (716) 319-8113 |
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