Tysen J Petre, DO - Medicare Family Practice in Kirksville, MO

Tysen J Petre, DO is a medicare enrolled "Family Medicine" physician in Kirksville, Missouri. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kirksville Missouri Hospital Company Llc and his current practice location is 800 W Jefferson St, Kirksville, Missouri. You can reach out to his office (for appointments etc.) via phone at (660) 665-4432.

Tysen J Petre is licensed to practice in Missouri (license number 2006004444) 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 1871642470.

Contact Information

Tysen J Petre, DO
800 W Jefferson St,
Kirksville, MO 63501-1443
(660) 665-4432
(660) 956-4392



Physician's Profile

Full NameTysen J Petre
GenderMale
SpecialityFamily Practice
Experience20 Years
Location800 W Jefferson St, Kirksville, 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:
  • Tysen J Petre attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2004
  NPI Data:
  • NPI Number: 1871642470
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 05/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7719080845
  • Enrollment ID: I20070312000033

Medical Identifiers

Medical identifiers for Tysen J Petre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871642470NPI-NPPES
BNDDOtherMO400608434

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2006004444 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northeast Regional Medical CenterKirksville, MOHospital
Macon County Samaritan Memorial HospitalMacon, MOHospital
Twin Pines Adult Care CenterKirksville, MONursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kirksville Missouri Hospital Company Llc32745173474

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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. Tysen J Petre allows following entities to bill medicare on his behalf.
Entity NameKirksville Missouri Hospital Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336491448
PECOS PAC ID: 3274517347
Enrollment ID: O20130312000204

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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. Tysen J Petre 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
Tysen J Petre, DO
800 W Jefferson St,
Kirksville, MO 63501-1443

Ph: (660) 665-4432
Tysen J Petre, DO
800 W Jefferson St,
Kirksville, MO 63501-1443

Ph: (660) 665-4432

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Family Medicine Doctors in Kirksville, MO

Karen A Sylvara, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 502 S Baltimore St, Kirksville, MO 63501
Phone: 660-665-5570    Fax: 660-665-2898
Dr. Katherine Lynne Holbrook, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 800 W Jefferson St, Kirksville, MO 63501
Phone: 660-626-2223    
Molly Christine Thompson, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 315 S Osteopathy Ave, Kirksville, MO 63501
Phone: 660-785-1000    
Dr. Stephanie Gonzales, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 315 S Osteopathy Ave, Kirksville, MO 63501
Phone: 660-785-1000    
Dr. James L Bowers, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1415 E Scott St, Kirksville, MO 63501
Phone: 660-665-1767    Fax: 660-665-1767
Dr. Ronald Leland Phillips, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Crown Dr, Suite 200, Kirksville, MO 63501
Phone: 660-665-3838    Fax: 660-665-0130
Dr. Steven R Lyons, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 W Jefferson St, Kirksville, MO 63501
Phone: 660-785-1000    

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