Tyson Kudrna, DPT is a medicare enrolled "Physical Therapist" physician in Dickinson, North Dakota. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Elite Pt and his current practice location is
1674 15th St W Ste 1, Dickinson, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 483-8686.
Tyson Kudrna is licensed to practice in Utah (license number CP002849T) 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 1558983437.
Physician's Profile
| Full Name | Tyson Kudrna |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 4 Years |
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| Location | 1674 15th St W Ste 1, Dickinson, 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. |
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Medical Education and Training:
- Tyson Kudrna graduated from medical school in 2020
NPI Data:
- NPI Number: 1558983437
- Provider Enumeration Date: 05/13/2020
- Last Update Date: 06/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507288826
- Enrollment ID: I20210930003096
Medical Identifiers
Medical identifiers for Tyson Kudrna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558983437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 2267 (North Dakota) | Secondary |
| 225100000X | Physical Therapist | CP002849T (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Elite Pt | 0547535882 | 5 |
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 Kudrna allows following entities to bill medicare on his behalf.
| Entity Name | Elite Pt |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1134649734
PECOS PAC ID: 0547535882
Enrollment ID: O20171012000596 |
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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. Tyson Kudrna 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 |
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Tyson Kudrna, DPT
1674 15th St W Ste 1,
Dickinson, ND 58601-2811
Ph: (701) 483-8686 | Tyson Kudrna, DPT
1674 15th St W Ste 1,
Dickinson, ND 58601-2811
Ph: (701) 483-8686 |
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