Dr Timothy R Shutter, MD in Tyler, TX - Medicare Internal Medicine

Dr Timothy R Shutter, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Tyler, Texas. His current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 593-8441.

Dr Timothy R Shutter is licensed to practice in Texas (license number U2015) 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 1285127704.

Contact Information

	Dr Timothy R Shutter, MD
	800 E Dawson St, Tyler, TX 75701-2036
	(903) 593-8441
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Timothy R Shutter
Gender	Male
Speciality	Internal Medicine - Critical Care Medicine
Location	800 E Dawson St, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285127704
Provider Enumeration Date: 06/09/2018
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3870955107
Enrollment ID: I20230817001982

Medical Identifiers

Medical identifiers for Dr Timothy R Shutter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285127704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	U2015 (Texas)	Secondary
207LC0200X	Anesthesiology - Critical Care Medicine	U2015 (Texas)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	U2015 (Texas)	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 Timothy R Shutter allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Northeast Texas Intensivists, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497536676 PECOS PAC ID: 5092167528 Enrollment ID: O20240119001805

Entity Name	Tyler Physician Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225898034 PECOS PAC ID: 3678912870 Enrollment ID: O20240422000594

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 Timothy R Shutter 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 Timothy R Shutter, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 606-6400	Dr Timothy R Shutter, MD 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 593-8441

Reviews and Comments

Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Preetham Reddy Muskula, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Randy Craig Randall, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063
Nabeel K Ahmed, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Rodolfo Amaro-galvez, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7072 Fax: 903-877-5838

Dr Timothy R Shutter, MD - Medicare Internal Medicine in Tyler, TX