Tyesha Shaw, - Counselor in Disputanta, VA

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Tyesha Shaw, is a Counselor - Mental Health based in Disputanta, Virginia. Tyesha Shaw is licensed to practice in Virginia (license number 7094-07-006) and her current practice location is 11321 Walton Lake Rd, Disputanta, Virginia. She can be reached at her office (for appointments etc.) via phone at (804) 930-3280.

NPI number for Tyesha Shaw is 1023724762 and her current mailing address is 11321 Walton Lake Rd, Disputanta, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023724762.

Contact Information

Tyesha Shaw,
11321 Walton Lake Rd,
Disputanta, VA 23842-4510
(804) 930-3280
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameTyesha Shaw
GenderFemale
SpecialityCounselor - Mental Health
Location11321 Walton Lake Rd, Disputanta, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023724762
  • Provider Enumeration Date: 01/26/2023
  • Last Update Date: 01/26/2023

Medical Identifiers

Medical identifiers for Tyesha Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023724762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 7094-07-006 (Virginia)Primary

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. Tyesha Shaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tyesha Shaw,
11321 Walton Lake Rd,
Disputanta, VA 23842-4510

Ph: (804) 930-3280		Tyesha Shaw,
11321 Walton Lake Rd,
Disputanta, VA 23842-4510

Ph: (804) 930-3280

Reviews and Comments


Counselor in Disputanta, VA

Jasmine Danisha Gant,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4018 Cobblewood Dr, Disputanta, VA 23842
Phone: 804-895-4573    
Mrs. Odessa Marie Brittenum, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11322 Walton Lake Rd, Disputanta, VA 23842
Phone: 804-919-3983    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.