Tyson Hickle, MD in Soldotna, AK - Medicare Emergency Medicine

Tyson Hickle, MD is a medicare enrolled "Emergency Medicine" physician in Soldotna, Alaska. He went to Creighton University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Yakima Valley Memorial Physicians and his current practice location is 250 Hospital Pl, Soldotna, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 714-4502.

Tyson Hickle is licensed to practice in Washington (license number MD61440052) 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 1699193979.

Contact Information

	Tyson Hickle, MD
	250 Hospital Pl, Soldotna, AK 99669-7559
	(907) 714-4502
	(907) 714-4696

Map and Direction

Physician's Profile

Full Name	Tyson Hickle
Gender	Male
Speciality	Emergency Medicine
Experience	10 Years
Location	250 Hospital Pl, Soldotna, Alaska
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:

Tyson Hickle attended and graduated from Creighton University School Of Medicine in 2014

NPI Data:

NPI Number: 1699193979
Provider Enumeration Date: 04/03/2014
Last Update Date: 10/20/2023

Medicare PECOS Information:

PECOS PAC ID: 0648586156
Enrollment ID: I20230905000282

Medical Identifiers

Medical identifiers for Tyson Hickle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699193979	NPI	-	NPPES
1699522	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	0116028145 (Virginia)	Secondary
207P00000X	Emergency Medicine	MD61440052 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Virginia Mason Memorial	Yakima, WA	Hospital
Kittitas Valley Community Hospital	Ellensburg, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Yakima Valley Memorial Physicians	1557391596	257

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. Tyson Hickle allows following entities to bill medicare on his behalf.

Entity Name	Yakima Valley Memorial Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714

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. Tyson Hickle 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
Tyson Hickle, MD 5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702 Ph: () -	Tyson Hickle, MD 250 Hospital Pl, Soldotna, AK 99669-7559 Ph: (907) 714-4502

Reviews and Comments

Emergency Medicine Doctors in Soldotna, AK

Dr. Stephen L. Hileman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 Hospital Place, Central Peninsula General Hospital, Soldotna, AK 99669 Phone: 907-714-4444 Fax: 907-714-4699
Aaron Michael Wonnacott, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4444
James Levine, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4444
Cynthia Sue Mildbrand, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4444
Angus Mcrae Warren, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4404
Dr. Charles Chris Mickelson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4444
Dr. Robert Ledda, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4444

Tyson Hickle, MD - Medicare Emergency Medicine in Soldotna, AK