Dr Tyson Richard Trimble, DO is a medicare enrolled "Orthopaedic Surgery" physician in Grove, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Integris Ambulatory Care Corporation and his current practice location is
900 E 13th St, Suite 104, Grove, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 786-3391.
Dr Tyson Richard Trimble is licensed to practice in Oklahoma (license number 4694) 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 1851555239.
Physician's Profile
| Full Name | Dr Tyson Richard Trimble |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 18 Years |
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| Location | 900 E 13th St, Grove, 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 Richard Trimble attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2007
NPI Data:
- NPI Number: 1851555239
- Provider Enumeration Date: 07/15/2008
- Last Update Date: 04/05/2017
Medicare PECOS Information:
- PECOS PAC ID: 2264688985
- Enrollment ID: I20120813000771
Medical Identifiers
Medical identifiers for Dr Tyson Richard Trimble such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851555239 | NPI | - | NPPES |
| 200216420B | Medicaid | OK | |
| 200462050O | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 4694 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Integris Ambulatory Care Corporation | 2365408465 | 427 |
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 Richard Trimble allows following entities to bill medicare on his behalf.
| Entity Name | Integris Ambulatory Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20041209000354 |
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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 Richard Trimble 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 Richard Trimble, DO
5300 N Independence Ave, 280,
Oklahoma City, OK 73112-5556
Ph: (918) 786-3391 | Dr Tyson Richard Trimble, DO
900 E 13th St, Suite 104,
Grove, OK 74344-2975
Ph: (918) 786-3391 |
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