Dr Tyson Dale Fisher, MD is a medicare enrolled "Otolaryngology" physician in Elk City, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Farmers Union Hospital Association and his current practice location is
1800 W 1st St, Ste 3, Elk City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 757-3510.
Dr Tyson Dale Fisher is licensed to practice in Oklahoma (license number 31696) 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 1023320108.
Physician's Profile
| Full Name | Dr Tyson Dale Fisher |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 14 Years |
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| Location | 1800 W 1st St, Elk City, Oklahoma |
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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 Tyson Dale Fisher attended and graduated from University Of Oklahoma College Of Medicine in 2010
NPI Data:
- NPI Number: 1023320108
- Provider Enumeration Date: 07/06/2010
- Last Update Date: 03/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 7315255080
- Enrollment ID: I20150929002304
Medical Identifiers
Medical identifiers for Dr Tyson Dale Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023320108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 4301096728 (Michigan) | Secondary |
| 207Y00000X | Otolaryngology | 31696 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Farmers Union Hospital Association | 7517949415 | 35 |
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 Dale Fisher allows following entities to bill medicare on his behalf.
| Entity Name | Weatherford Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346494275
PECOS PAC ID: 9032021837
Enrollment ID: O20040413001105 |
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| Entity Name | Farmers Union Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184639122
PECOS PAC ID: 7517949415
Enrollment ID: O20040603001383 |
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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 Tyson Dale Fisher 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 Tyson Dale Fisher, MD
2017 W I 35 Frontage Rd, 140,
Edmond, OK 73013-8504
Ph: (405) 757-3510 | Dr Tyson Dale Fisher, MD
1800 W 1st St, Ste 3,
Elk City, OK 73644-3133
Ph: (405) 757-3510 |
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