Tynesha Ivory, LPC in Little Rock, AR - Medicare Counselor Provider

Tynesha Ivory, LPC is a medicare enrolled "Counselor - Professional" provider in Little Rock, Arkansas. Her current practice location is 1500 N Mississippi St, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 217-8600.

Tynesha Ivory is licensed to practice in Arkansas (license number P2407019) 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 1669814745.

Contact Information

	Tynesha Ivory, LPC
	1500 N Mississippi St, Little Rock, AR 72207-5851
	(501) 217-8600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tynesha Ivory
Gender	Female
Speciality	Counselor - Professional
Location	1500 N Mississippi St, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669814745
Provider Enumeration Date: 07/18/2013
Last Update Date: 11/08/2024

Medicare PECOS Information:

PECOS PAC ID: 3971039009
Enrollment ID: I20241211004760

Medical Identifiers

Medical identifiers for Tynesha Ivory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669814745	NPI	-	NPPES
278537795	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	A2111000 (Arkansas)	Secondary
171M00000X	Case Manager/care Coordinator	(Arkansas)	Secondary
101YP2500X	Counselor - Professional	P2407019 (Arkansas)	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. Tynesha Ivory allows following entities to bill medicare on her behalf.

Entity Name	Access Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881738409 PECOS PAC ID: 8325402613 Enrollment ID: O20230920000762

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. Tynesha Ivory 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
Tynesha Ivory, LPC 10618 Breckenridge Dr, Little Rock, AR 72211-1802 Ph: (501) 217-8600	Tynesha Ivory, LPC 1500 N Mississippi St, Little Rock, AR 72207-5851 Ph: (501) 217-8600

Reviews and Comments

Counselor in Little Rock, AR

Charlie Simpson Iii, LAMFT, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Shackleford Plz Ste 100, Little Rock, AR 72211 Phone: 501-313-1185
Crystal Ann Mcmullen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5918 Lee Ave, Little Rock, AR 72205 Phone: 501-669-2199
Colleen Stone, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Col Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500
Mrs. Adrienne Reeves, L.P.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Aldersgate Rd, Little Rock, AR 72205 Phone: 501-821-5459 Fax: 501-821-6116
David Laser Jr., BS, MBA, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3700 W 65th St, Little Rock, AR 72209 Phone: 479-806-0469
Crystal Goins, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500
Abigail Campbell, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lile Ct Ste 200, Little Rock, AR 72205 Phone: 479-964-2011

Tynesha Ivory, LPC - Medicare Counselor in Little Rock, AR