Tyrone Berentson, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Bottineau, North Dakota. He went to University Of North Dakota School Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Andrews Hospital and his current practice location is
316 Ohmer St, Bottineau, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 228-9400.
Tyrone Berentson is licensed to practice in North Dakota (license number 17367) 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 1902390172.
Physician's Profile
Full Name | Tyrone Berentson |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 7 Years |
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Location | 316 Ohmer St, Bottineau, North Dakota |
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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:
- Tyrone Berentson attended and graduated from University Of North Dakota School Of Medicine in 2018
NPI Data:
- NPI Number: 1902390172
- Provider Enumeration Date: 06/20/2018
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032468004
- Enrollment ID: I20210625002019
Medical Identifiers
Medical identifiers for Tyrone Berentson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902390172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QS0010X | Family Medicine - Sports Medicine | 17367 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Andrews Hospital | 4880505999 | 14 |
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. Tyrone Berentson allows following entities to bill medicare on his behalf.
Entity Name | St Andrews Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1801893706 PECOS PAC ID: 4880505999 Enrollment ID: O20110328000552 |
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Entity Name | St Andrews Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1306903331 PECOS PAC ID: 4880505999 Enrollment ID: O20160107002139 |
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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. Tyrone Berentson 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 |
Tyrone Berentson, MD 316 Ohmer St, Bottineau, ND 58318-1045 Ph: (701) 228-9400 | Tyrone Berentson, MD 316 Ohmer St, Bottineau, ND 58318-1045 Ph: (701) 228-9400 |
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