Dr Clyde Columbus Mathison Ii, MD is a medicare enrolled "Otolaryngology" physician in Farragut, Tennessee. He went to Tulane University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Otolaryngology Head And Neck Surgery Associates and his current practice location is
144 Concord Rd Dept Of, Farragut, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 777-1727.
Dr Clyde Columbus Mathison Ii is licensed to practice in Tennessee (license number 47129) 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 1154505428.
Physician's Profile
| Full Name | Dr Clyde Columbus Mathison Ii |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 19 Years |
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| Location | 144 Concord Rd Dept Of, Farragut, 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:
- Dr Clyde Columbus Mathison Ii attended and graduated from Tulane University School Of Medicine in 2005
NPI Data:
- NPI Number: 1154505428
- Provider Enumeration Date: 12/21/2007
- Last Update Date: 08/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 5698967693
- Enrollment ID: I20110805000621
Medical Identifiers
Medical identifiers for Dr Clyde Columbus Mathison Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154505428 | NPI | - | NPPES |
| 1523167 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 47129 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Otolaryngology Head And Neck Surgery Associates | 4082515507 | 14 |
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 Clyde Columbus Mathison Ii allows following entities to bill medicare on his behalf.
| Entity Name | Otolaryngology Head And Neck Surgery Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184704207
PECOS PAC ID: 4082515507
Enrollment ID: O20040117000131 |
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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 Clyde Columbus Mathison Ii 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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Dr Clyde Columbus Mathison Ii, MD
Farragut Ent & Allergy, 144 Concord Road,
Knoxville, TN 37934-0001
Ph: (865) 777-1727 | Dr Clyde Columbus Mathison Ii, MD
144 Concord Rd Dept Of,
Farragut, TN 37934-2901
Ph: (865) 777-1727 |
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