Dr Syreeta Tisha Mctavous, DDS in Sioux City, IA

Dr Syreeta Tisha Mctavous, DDS is a medicare enrolled "Dentist" provider in Sioux City, Iowa. Her current practice location is 1021 Nebraska St, Sioux City, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 252-2477.

Dr Syreeta Tisha Mctavous is licensed to practice in Iowa (license number DDS-10183) 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 1205145596.

Contact Information

	Dr Syreeta Tisha Mctavous, DDS
	1021 Nebraska St, Sioux City, IA 51105-1436
	(712) 252-2477
	(712) 252-5920

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Syreeta Tisha Mctavous
Gender	Female
Speciality	Dentist
Location	1021 Nebraska St, Sioux City, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205145596
Provider Enumeration Date: 10/04/2010
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2365886058
Enrollment ID: I20240221002679

Medical Identifiers

Medical identifiers for Dr Syreeta Tisha Mctavous such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205145596	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DDS-10183 (Iowa)	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. Dr Syreeta Tisha Mctavous allows following entities to bill medicare on her behalf.

Entity Name	Siouxland Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558355305 PECOS PAC ID: 9931099546 Enrollment ID: O20040317001270

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. Dr Syreeta Tisha Mctavous 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
Dr Syreeta Tisha Mctavous, DDS 1021 Nebraska St, Sioux City, IA 51105-1436 Ph: (712) 252-2477	Dr Syreeta Tisha Mctavous, DDS 1021 Nebraska St, Sioux City, IA 51105-1436 Ph: (712) 252-2477

Reviews and Comments

Dentist in Sioux City, IA

Dr. Frank H Sargent, DDS MS Dentist Medicare: Medicare Enrolled Practice Location: 2910 Hamilton Blvd, Suite 101, Sioux City, IA 51104 Phone: 712-255-8017 Fax: 712-252-9748
Dr. Brian Bradley Bursick, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4100 Morningside Avenue, Suite B, Sioux City, IA 51106 Phone: 712-274-2038
Dr. Thomas Leonard Tiedeman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 Phone: 712-255-1163 Fax: 712-252-6157
Dr. Dawn E Frein, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 Phone: 712-255-5754 Fax: 712-224-2075
Dr. Jaicee Post, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4100 Morningside Ave, Sioux City, IA 51106 Phone: 712-274-2038
Dr. Richard Alan Kava, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2930 Hamilton Blvd Uppr F, Suite 101, Sioux City, IA 51104 Phone: 712-258-6169 Fax: 712-258-7053
Wayne Anthony Lewis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2114 Pierce St, Sioux City, IA 51104 Phone: 712-252-3440 Fax: 712-252-5670

Dr Syreeta Tisha Mctavous, DDS - Medicare Dentist in Sioux City, IA