Tyler R Williamson, MD - Medicare Sports Medicine in Mammoth Lakes, CA

  1. Home
  2. Orthopedic Surgery
  3. CA
  4. Mammoth Lakes
Tyler R Williamson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Mammoth Lakes, California. He went to New York University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Infinite Health Collaborative Pa and his current practice location is 85 Sierra Park Rd, Mammoth Lakes, California. You can reach out to his office (for appointments etc.) via phone at (760) 924-4084.

Tyler R Williamson is licensed to practice in California (license number A177935) 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 1225561939.

Contact Information

Tyler R Williamson, MD
85 Sierra Park Rd,
Mammoth Lakes, CA 93546-2073
(760) 924-4084
Not Available

Map and Direction




Physician's Profile

Full NameTyler R Williamson
GenderMale
SpecialitySports Medicine
Experience7 Years
Location85 Sierra Park Rd, Mammoth Lakes, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyler R Williamson attended and graduated from New York University School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1225561939
  • Provider Enumeration Date: 04/10/2017
  • Last Update Date: 09/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769751429
  • Enrollment ID: I20230911002681

Medical Identifiers

Medical identifiers for Tyler R Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225561939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 74344 (Minnesota)Secondary
207X00000XOrthopaedic Surgery 74344 (Minnesota)Secondary
207X00000XOrthopaedic Surgery A177935 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maple Grove HospitalMaple grove, MNHospital
North Memorial HealthRobbinsdale, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Infinite Health Collaborative Pa1052225042761

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. Tyler R Williamson allows following entities to bill medicare on his behalf.
Entity NameInfinite Health Collaborative Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164474250
PECOS PAC ID: 1052225042
Enrollment ID: O20040209000574

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. Tyler R Williamson 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 AddressPractice Location Address
Tyler R Williamson, MD
4200 Dahlberg Dr Ste 300,
Golden Valley, MN 55422-4841

Ph: (952) 512-5600		Tyler R Williamson, MD
85 Sierra Park Rd,
Mammoth Lakes, CA 93546-2073

Ph: (760) 924-4084

Reviews and Comments


Orthopaedic Surgery Doctors in Mammoth Lakes, CA

Timothy S. Crall, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546
Phone: 760-934-3311    Fax: 760-872-6790

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.