Tyler Tantisook, MD - Medicare Emergency Medicine in Chattanooga, TN

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Tyler Tantisook, MD is a medicare enrolled "Emergency Medicine" physician in Chattanooga, Tennessee. His current practice location is 2525 Desales Ave, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 697-0014.

Tyler Tantisook is licensed to practice in Tennessee (license number 63587) 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 1326545823.

Contact Information

Tyler Tantisook, MD
2525 Desales Ave,
Chattanooga, TN 37404-1161
(423) 697-0014
(423) 648-6280

Map and Direction




Physician's Profile

Full NameTyler Tantisook
GenderMale
SpecialityEmergency Medicine
Location2525 Desales Ave, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326545823
  • Provider Enumeration Date: 04/11/2018
  • Last Update Date: 08/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385055805
  • Enrollment ID: I20201204000394

Medical Identifiers

Medical identifiers for Tyler Tantisook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326545823NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 86971 (Georgia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine 63587 (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. Tyler Tantisook allows following entities to bill medicare on his behalf.
Entity NameGeorgia Emergency Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528098290
PECOS PAC ID: 1052216389
Enrollment ID: O20031201000427
Entity NameSouth Georgia Emergency Medicine Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386903649
PECOS PAC ID: 4880850775
Enrollment ID: O20120720000457
Entity NameSgmc Physician Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417597170
PECOS PAC ID: 4082036843
Enrollment ID: O20201015000629
Entity NameChattanooga Emergency Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174739908
PECOS PAC ID: 0042304032
Enrollment ID: O20210322001796

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 Tantisook 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 Tantisook, MD
725 Glenwood Dr Ste E487,
Chattanooga, TN 37404-1173

Ph: (423) 697-0014		Tyler Tantisook, MD
2525 Desales Ave,
Chattanooga, TN 37404-1161

Ph: (423) 697-0014

Reviews and Comments


Emergency Medicine Doctors in Chattanooga, TN

Joseph Kerby Gray, MD
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2525 De Sales Ave, Chattanooga, TN 37404
Phone: 423-495-2525    
Ronald A. Gracy Ii, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 941 Spring Creek Rd, Chattanooga, TN 37412
Phone: 423-894-7870    Fax: 865-539-8008
Dr. Jocelyn May De Guzman, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1755 Gunbarrel Rd, Chattanooga, TN 37421
Phone: 423-680-8534    
Dr. Jeffrey Durant Clinkscales, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 975 E 3rd St, Chattanooga, TN 37403
Phone: 423-778-7628    
Dr. Shelley L Murphy, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1018 Blackford Street, Chattanooga, TN 37403
Phone: 423-778-7000    
Dr. Devon Gaines, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 975 E 3rd St, Chattanooga, TN 37403
Phone: 423-778-7000    
Samuel Wilson,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Desales Ave, Chattanooga, TN 37404
Phone: 423-697-0014    Fax: 423-648-6280

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.