DR. ELIZABETH TYRELL PENDRAGON MD - NPI 1801841960

Q: What is Elizabeth Pendragon's NPI number?

The NPI number for Elizabeth Pendragon is 1801841960. It was assigned to this individual provider in the NPPES registry on May 24, 2006. The provider is also known as Dr. Elizabeth Ann Tyrell MD.

Q: What is Elizabeth Pendragon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Dr. Elizabeth Tyrell Pendragon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELIZABETH TYRELL PENDRAGON MD (NPI 1801841960) is an individual family medicine provider in Albany, Oregon, licensed in Oregon (MD208773) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801841960

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ELIZABETH TYRELL PENDRAGONCredential: MD

Location Address633 N ALBANY RD NWAlbany, OR 97321-1433

Mailing Address444 Nw Elks DrCorvallis, OR 97330-3745 · (541) 754-1150

Phone(541) 926-3441

Fax(541) 926-1010

Sole ProprietorNo

Enumeration DateMay 24, 2006

Last NPPES UpdateMay 2, 2022

NPPES CertifiedMay 2, 2022

✔ NPI 1801841960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OR · MD208773✔ Licensed in CA · A65070

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

633 N ALBANY RD NW, Albany, OR 97321

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Other Names 1

Former Name (1)Dr. Elizabeth Ann Tyrell Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Tyrell Pendragon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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