Tyler R Williamson, MD - Medicare Sports Medicine in Plymouth, MN

Tyler R Williamson, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Plymouth, Minnesota. He went to New York University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Infinite Health Collaborative Pa and his current practice location is 16800 37th Pl N, Ste 200, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (635) 207-8707.

Tyler R Williamson is licensed to practice in Minnesota (license number 74344) 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 1225561939.

Contact Information

Tyler R Williamson, MD
16800 37th Pl N, Ste 200,
Plymouth, MN 55446
(635) 207-8707
(763) 520-7580



Physician's Profile

Full NameTyler R Williamson
GenderMale
SpecialitySports Medicine
Experience7 Years
Location16800 37th Pl N, Plymouth, Minnesota
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:
  • Tyler R Williamson attended and graduated from New York University School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1225561939
  • Provider Enumeration Date: 04/10/2017
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769751429
  • Enrollment ID: I20230911002681

Medical Identifiers

Medical identifiers for Tyler R Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225561939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 74344 (Minnesota)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine 74344 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maple Grove HospitalMaple grove, MNHospital
North Memorial HealthRobbinsdale, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Infinite Health Collaborative Pa1052225042772

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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. Tyler R Williamson allows following entities to bill medicare on his behalf.
Entity NameInfinite Health Collaborative Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164474250
PECOS PAC ID: 1052225042
Enrollment ID: O20040209000574

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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. Tyler R Williamson 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
Tyler R Williamson, MD
4200 Dahlberg Dr Ste 300,
Golden Valley, MN 55422-4841

Ph: (952) 512-5600
Tyler R Williamson, MD
16800 37th Pl N, Ste 200,
Plymouth, MN 55446

Ph: (635) 207-8707

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Orthopaedic Surgery Doctors in Plymouth, MN

Richard M Salib, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446
Phone: 651-968-5201    Fax: 651-968-5904
Dr. Roman Gabriel Guerrero-maestre, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446
Phone: 651-968-5201    
Dr. Edward Rainier Gamboa Santos, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446
Phone: 651-968-5201    Fax: 651-968-5904
Mr. Thomas F. Varecka, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2805 Campus Dr, Ste 425, Plymouth, MN 55441
Phone: 763-383-0770    Fax: 763-383-0777
Andrew Brooks, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446
Phone: 651-968-5201    Fax: 651-968-5903
Jeffrey S Pinto, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446
Phone: 651-968-5201    Fax: 651-968-5904

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