Emily C Tyson, in Willimantic, CT - Medicare Counselor Provider

Emily C Tyson, is a medicare enrolled "Counselor - Professional" provider in Willimantic, Connecticut. Her current practice location is 90 S Park St Ste 2, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 207-0499.

Emily C Tyson is licensed to practice in Connecticut (license number 003673) 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 1487212734.

Contact Information

	Emily C Tyson,
	90 S Park St Ste 2, Willimantic, CT 06226-3336
	(860) 207-0499
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily C Tyson
Gender	Female
Speciality	Counselor - Professional
Location	90 S Park St Ste 2, Willimantic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487212734
Provider Enumeration Date: 06/02/2019
Last Update Date: 06/02/2019

Medicare PECOS Information:

PECOS PAC ID: 3678014107
Enrollment ID: I20240924001418

Medical Identifiers

Medical identifiers for Emily C Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487212734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	003673 (Connecticut)	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. Emily C Tyson allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081

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. Emily C 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
Emily C Tyson, 90 S Park St Ste 2, Willimantic, CT 06226-3336 Ph: (860) 207-0499	Emily C Tyson, 90 S Park St Ste 2, Willimantic, CT 06226-3336 Ph: (860) 207-0499

Reviews and Comments

Counselor in Willimantic, CT

William Bergmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1491 Main St, Willimantic, CT 06226 Phone: 860-456-3215
Elicia L Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 890-731-5536
Ms. Jessica M Diaz, MASTER OF ARTS Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-2261
Ning Cruzado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 860-731-5536
Amanda Church, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 860-731-5536
Felicia Ca Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 890-731-5536
Patricia Murphy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Valley St, Willimantic, CT 06226 Phone: 860-456-7200 Fax: 860-731-5536

Emily C Tyson, - Medicare Counselor in Willimantic, CT