Dr Tyson Amundsen, MD in Collierville, TN - Medicare Internal Medicine

Dr Tyson Amundsen, MD is a medicare enrolled "Internal Medicine" physician in Collierville, Tennessee. His current practice location is 1500 W Poplar Ave, Collierville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 861-9000.

Dr Tyson Amundsen is licensed to practice in Tennessee (license number 68349) 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 1013573054.

Contact Information

	Dr Tyson Amundsen, MD
	1500 W Poplar Ave, Collierville, TN 38017-0601
	(901) 861-9000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tyson Amundsen
Gender	Male
Speciality	Internal Medicine
Location	1500 W Poplar Ave, Collierville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013573054
Provider Enumeration Date: 05/15/2019
Last Update Date: 04/29/2024

Medicare PECOS Information:

PECOS PAC ID: 1153655626
Enrollment ID: I20240214001356

Medical Identifiers

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

Identifier	Type	State	Issuer
1013573054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	68349 (Tennessee)	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 Tyson Amundsen 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

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 Tyson Amundsen 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 Tyson Amundsen, MD 2401 S 31st St # Ms 01161b, Temple, TX 76508-0001 Ph: () -	Dr Tyson Amundsen, MD 1500 W Poplar Ave, Collierville, TN 38017-0601 Ph: (901) 861-9000

Reviews and Comments

Internal Medicine Doctors in Collierville, TN

Jonathan M. Davis, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 594 Fulford Way Apt 204, Collierville, TN 38017 Phone: 585-415-4527
Dr. Joan Michelle Allmon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 526 Halle Park Dr, Collierville, TN 38017 Phone: 901-910-3246 Fax: 901-316-5427
Joseph D Baker Ii, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 W Poplar Ave Ste 202, Collierville, TN 38017 Phone: 901-861-9090 Fax: 901-961-9099
Dr. Owita R Mays, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 W. Poplar Avenue, Suite 202, Collierville, TN 38017 Phone: 901-861-9090 Fax: 901-861-9099
Richard Mcguire, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 W Poplar Ave, Collierville, TN 38017 Phone: 901-861-9000
Dr. Kristy Lynn Bryan, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 West Poplar Avenue, Suite 202, Collierville, TN 38017 Phone: 901-861-9090 Fax: 901-861-9099

Dr Tyson Amundsen, MD - Medicare Internal Medicine in Collierville, TN