Jessica Tandy Lyrek, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Lehigh Acres, Florida. Her current practice location is
2913 Lee Blvd, Lehigh Acres, Florida. You can reach out to her office (for appointments etc.) via phone at
(612) 267-5107.
Jessica Tandy Lyrek is licensed to practice in Florida (license number MT5136) 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 1104639095.
Healthcare Provider's Profile
Full Name | Jessica Tandy Lyrek |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 2913 Lee Blvd, Lehigh Acres, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104639095
- Provider Enumeration Date: 01/27/2025
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123548401
- Enrollment ID: I20250218001836
Medical Identifiers
Medical identifiers for Jessica Tandy Lyrek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104639095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MT5136 (Florida) | 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. Jessica Tandy Lyrek allows following entities to bill medicare on her behalf.
Entity Name | Dna Comprehensive Therapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
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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. Jessica Tandy Lyrek 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 |
Jessica Tandy Lyrek, LMFT 6440 Neal Rd, Fort Myers, FL 33905-6828 Ph: (612) 267-5107 | Jessica Tandy Lyrek, LMFT 2913 Lee Blvd, Lehigh Acres, FL 33971-1438 Ph: (612) 267-5107 |
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