Matthew Tyra, LPC in Aiken, SC - Medicare Counselor Provider

Matthew Tyra, LPC is a medicare enrolled "Counselor - Mental Health" provider in Aiken, South Carolina. His current practice location is 33 Varden Dr, Aiken, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 642-3980.

Matthew Tyra is licensed to practice in South Carolina (license number 7878) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063085462.

Contact Information

	Matthew Tyra, LPC
	33 Varden Dr, Aiken, SC 29803-5285
	(803) 642-3980
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Tyra
Gender	Male
Speciality	Counselor - Mental Health
Location	33 Varden Dr, Aiken, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063085462
Provider Enumeration Date: 07/22/2021
Last Update Date: 07/22/2021

Medicare PECOS Information:

PECOS PAC ID: 9436590270
Enrollment ID: I20240510003370

Medical Identifiers

Medical identifiers for Matthew Tyra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063085462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	7878 (South Carolina)	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. Matthew Tyra allows following entities to bill medicare on his behalf.

Entity Name	Aiken Psychiatric And Psychotherapy Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114995099 PECOS PAC ID: 1254378128 Enrollment ID: O20050412000920

Entity Name	Neighborhood Improvement Project, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215743638 PECOS PAC ID: 7315851078 Enrollment ID: O20250214003435

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. Matthew Tyra 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
Matthew Tyra, LPC 33 Varden Dr, Aiken, SC 29803-5285 Ph: (803) 642-3980	Matthew Tyra, LPC 33 Varden Dr, Aiken, SC 29803-5285 Ph: (803) 642-3980

Reviews and Comments

Counselor in Aiken, SC

Katrina Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy Nw, Aiken, SC 29801 Phone: 803-641-7700
Darby A Royal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy Nw, Aiken, SC 29801 Phone: 803-641-7700
Gabrielle Torres, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy, Aiken, SC 29801 Phone: 803-641-7700
Samantha Tierra Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy Nw, Aiken, SC 29801 Phone: 803-641-7700
Christy Ann Austin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 Charleston Row Blvd, Aiken, SC 29803 Phone: 419-376-6291
Jennifer Reed Minichan, M.S., ED.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Brookhaven Dr, Aiken, SC 29803 Phone: 803-641-2624

Matthew Tyra, LPC - Medicare Counselor in Aiken, SC