Tyrun Keith Richardson, MD - Medicare Urology in Springfield, MO

Tyrun Keith Richardson, MD is a medicare enrolled "Urology" physician in Springfield, Missouri. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1983 and has 41 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mercy Clinic Springfield Communities and his current practice location is 1965 S Fremont Ave, Ste 370, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 820-0300.

Tyrun Keith Richardson is licensed to practice in Missouri (license number 2016012292) 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 1205834074.

Contact Information

Tyrun Keith Richardson, MD
1965 S Fremont Ave, Ste 370,
Springfield, MO 65804-2201
(417) 820-0300
Not Available



Physician's Profile

Full NameTyrun Keith Richardson
GenderMale
SpecialityUrology
Experience41 Years
Location1965 S Fremont Ave, Springfield, Missouri
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:
  • Tyrun Keith Richardson attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1983
  NPI Data:
  • NPI Number: 1205834074
  • Provider Enumeration Date: 07/14/2005
  • Last Update Date: 06/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2668407115
  • Enrollment ID: I20051004000130

Medical Identifiers

Medical identifiers for Tyrun Keith Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205834074NPI-NPPES
PENDINGMedicaidMO
PENDINGMedicaidAR
200456750HMedicaidOK
200566690AMedicaidOK
200615150AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 04-33531 (Kansas)Secondary
208800000XUrology 31026 (Oklahoma)Secondary
208800000XUrology 2016012292 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital SpringfieldSpringfield, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Springfield Communities7416865845922

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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. Tyrun Keith Richardson allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060

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Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354

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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. Tyrun Keith Richardson 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
Tyrun Keith Richardson, MD
Po Box 505164,
Saint Louis, MO 63150-5164

Ph: (417) 829-4620
Tyrun Keith Richardson, MD
1965 S Fremont Ave, Ste 370,
Springfield, MO 65804-2201

Ph: (417) 820-0300

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Urology Doctors in Springfield, MO

Jennifer A Malossi, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1001 E Primrose St, Springfield, MO 65807
Phone: 417-875-3381    Fax: 417-875-3690
Robert Clayton Scanlon Ii, D.O.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1001 E Primrose St, Springfield, MO 65807
Phone: 417-875-3000    
Dr. Eric P. Guilliams, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1965 S Fremont Ave, Suite 370, Springfield, MO 65804
Phone: 417-882-0300    Fax: 417-882-9645
Dr. Barry S Farber, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 3850 S National Ave, Suite 320, Springfield, MO 65807
Phone: 417-269-6944    Fax: 417-269-6947
Dr. Mark J. Walterskirchen, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1965 S Fremont Ave, Suite 370, Springfield, MO 65804
Phone: 417-820-0300    Fax: 417-882-9645
Howard W Follis, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1001 E Primrose St, Springfield, MO 65807
Phone: 417-875-3000    Fax: 417-875-3690

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