Mr Tyler Wilson Clemmensen, - Medicare Pathology in Birmingham, AL

Mr Tyler Wilson Clemmensen, is a medicare enrolled "Pathology - Anatomic Pathology" physician in Birmingham, Alabama. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Pathology Associates Of Alabama and his current practice location is 625 19th St S, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 934-4303.

Mr Tyler Wilson Clemmensen is licensed to practice in Alabama (license number 35415) 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 1265852107.

Contact Information

Mr Tyler Wilson Clemmensen,
625 19th St S,
Birmingham, AL 35249
(205) 934-4303
(205) 934-5499



Physician's Profile

Full NameMr Tyler Wilson Clemmensen
GenderMale
SpecialityPathology
Experience10 Years
Location625 19th St S, Birmingham, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Tyler Wilson Clemmensen attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1265852107
  • Provider Enumeration Date: 04/18/2014
  • Last Update Date: 05/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1456648435
  • Enrollment ID: I20190604002702

Medical Identifiers

Medical identifiers for Mr Tyler Wilson Clemmensen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265852107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 35415 (Alabama)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207ZP0101XPathology - Anatomic Pathology 35415 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grandview Medical CenterBirmingham, ALHospital
Princeton Baptist Medical CenterBirmingham, ALHospital
Walker Baptist Medical CenterJasper, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pathology Associates Of Alabama09412938647

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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. Mr Tyler Wilson Clemmensen allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Alabama Health Services Foundation, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093768723
PECOS PAC ID: 1951213107
Enrollment ID: O20031105000261

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Entity NamePathology Associates Of Alabama
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396815536
PECOS PAC ID: 0941293864
Enrollment ID: O20040406001534

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Entity NameGastroenterology Associates Of North-central Alabama Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528080595
PECOS PAC ID: 3072591478
Enrollment ID: O20040712001151

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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. Mr Tyler Wilson Clemmensen 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
Mr Tyler Wilson Clemmensen,
625 19th St S,
Birmingham, AL 35249

Ph: () -
Mr Tyler Wilson Clemmensen,
625 19th St S,
Birmingham, AL 35249

Ph: (205) 934-4303

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Pathology Doctors in Birmingham, AL

Dr. Kyle Charles Mills, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3550 Independence Dr, Birmingham, AL 35209
Phone: 205-949-2800    Fax: 205-949-2801
Leona Council, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 619 19th St S, Birmingham, AL 35249
Phone: 205-934-5038    
Dr. Alexander Wong, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 3550 Independence Dr, Birmingham, AL 35209
Phone: 205-949-2806    Fax: 205-949-2875
Dr. David Ullman, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 625 19th St S, Birmingham, AL 35233
Phone: 205-934-4977    
Dr. Jonathan G Phillips, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 924 Montclair Rd, Ste 200, Birmingham, AL 35213
Phone: 205-591-7999    Fax: 205-591-5051
Thomas S Winokur, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 619 19th Street South, Birmingham, AL 35233
Phone: 205-934-6600    
Isam Eltoum,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2000 6th Ave S, Birmingham, AL 35233
Phone: 205-934-9999    

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