Jonathan Tyre, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Lisbon, North Dakota. His current practice location is
802 Main St, Lisbon, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 683-7900.
Jonathan Tyre is licensed to practice in * (Not Available) (license number ) 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 1821861287.
Healthcare Provider's Profile
| Full Name | Jonathan Tyre |
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| Gender | Male |
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| Speciality | Physical Therapist - Orthopedic |
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| Location | 802 Main St, Lisbon, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821861287
- Provider Enumeration Date: 11/06/2023
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911356506
- Enrollment ID: I20231207002366
Medical Identifiers
Medical identifiers for Jonathan Tyre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821861287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | 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. Jonathan Tyre allows following entities to bill medicare on his behalf.
| Provider Name | Mobilityplus Rehabilitation Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1881631299
PECOS PAC ID: 3072517911
Enrollment ID: O20060922000150 |
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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. Jonathan Tyre 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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Jonathan Tyre,
802 Main St,
Lisbon, ND 58054-4204
Ph: () - | Jonathan Tyre,
802 Main St,
Lisbon, ND 58054-4204
Ph: (701) 683-7900 |
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