Dr Seanne Shelly Tyson, PHD in Hawthorne, CA - Medicare Psychologist Provider

Dr Seanne Shelly Tyson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Hawthorne, California. Her current practice location is 2311 W El Segundo Blvd, Hawthorne, California. You can reach out to her office (for appointments etc.) via phone at (323) 241-6730.

Dr Seanne Shelly Tyson is licensed to practice in California (license number PSY17017) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992964787.

Contact Information

	Dr Seanne Shelly Tyson, PHD
	2311 W El Segundo Blvd, Hawthorne, CA 90250-3315
	(323) 241-6730
	(323) 756-1163

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Seanne Shelly Tyson
Gender	Female
Speciality	Psychologist - Clinical
Location	2311 W El Segundo Blvd, Hawthorne, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992964787
Provider Enumeration Date: 06/05/2008
Last Update Date: 06/05/2008

Medicare PECOS Information:

PECOS PAC ID: 4789620923
Enrollment ID: I20050628001258

Medical Identifiers

Medical identifiers for Dr Seanne Shelly Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992964787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY17017 (California)	Primary

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. Dr Seanne Shelly Tyson allows following entities to bill medicare on her behalf.

Entity Name	Los Angeles County Department Of Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319

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. Dr Seanne Shelly Tyson 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 Address	Practice Location Address
Dr Seanne Shelly Tyson, PHD 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 Ph: (323) 241-6730	Dr Seanne Shelly Tyson, PHD 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 Ph: (323) 241-6730

Reviews and Comments

Psychologist in Hawthorne, CA

Rachel Bae, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12129 Manor Dr, Apt.44, Hawthorne, CA 90250 Phone: 978-833-3620
Diego Garcia Rodriguez, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3807 W 116th St, Hawthorne, CA 90250 Phone: 310-817-1276
Mr. Collins Benye, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11633 Hawthorne Blvd, 210, Hawthorne, CA 90250 Phone: 310-978-0461

Dr Seanne Shelly Tyson, PHD - Medicare Psychologist in Hawthorne, CA