Tyler R Williamson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Mammoth Lakes, California. 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.
Physician's Profile
Full Name | Tyler R Williamson |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 85 Sierra Park Rd, Mammoth Lakes, California |
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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. |
Medical Education and Training:
- Tyler R Williamson attended and graduated from in
NPI Data:
- NPI Number: 1225561939
- Provider Enumeration Date: 04/10/2017
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tyler R Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225561939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 74344 (Minnesota) | Secondary |
207X00000X | Orthopaedic Surgery | 74344 (Minnesota) | Secondary |
207X00000X | Orthopaedic Surgery | A177935 (California) | Primary |
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 Address | Practice 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 |
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