Dr Tyisha Lynn Seymour, MD in Culver City, CA

Dr Tyisha Lynn Seymour, MD is a medicare enrolled "Pediatrics" physician in Culver City, California. Her current practice location is 3831 Hughes Ave Ste 601, Culver City, California. You can reach out to her office (for appointments etc.) via phone at (310) 838-4048.

Dr Tyisha Lynn Seymour is licensed to practice in California (license number A120623) 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 1568775682.

Contact Information

	Dr Tyisha Lynn Seymour, MD
	3831 Hughes Ave Ste 601, Culver City, CA 90232-6844
	(310) 838-4048
	(310) 425-8091

Map and Direction

Physician's Profile

Full Name	Dr Tyisha Lynn Seymour
Gender	Female
Speciality	Pediatrics
Location	3831 Hughes Ave Ste 601, Culver City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568775682
Provider Enumeration Date: 07/18/2010
Last Update Date: 01/06/2026

Medicare PECOS Information:

PECOS PAC ID: 5991933921
Enrollment ID: I20140120000269

Medical Identifiers

Medical identifiers for Dr Tyisha Lynn Seymour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568775682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A120623 (California)	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 Tyisha Lynn Seymour allows following entities to bill medicare on her behalf.

Entity Name	St. John's Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

Entity Name	Complete Care Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215113964 PECOS PAC ID: 3779494190 Enrollment ID: O20080521000478

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 Tyisha Lynn Seymour 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 Tyisha Lynn Seymour, MD 3653 S Sepulveda Blvd Apt 3, Los Angeles, CA 90034-6819 Ph: () -	Dr Tyisha Lynn Seymour, MD 3831 Hughes Ave Ste 601, Culver City, CA 90232-6844 Ph: (310) 838-4048

Reviews and Comments

Pediatrics Doctors in Culver City, CA

Rachel Barbour Ukwu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3831 Hughes Ave Ste 502, Culver City, CA 90232 Phone: 818-361-5437
Margo Patricia Deleaver, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave Ste 601, Culver City, CA 90232 Phone: 310-838-4048 Fax: 310-838-0491
Hubert Anthony Russell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave Ste 601, Culver City, CA 90232 Phone: 310-204-0223 Fax: 310-204-4251
Stacey Shuai, Pediatrics Medicare: Medicare Enrolled Practice Location: 5901 Green Valley Cir Ste 405, Culver City, CA 90230 Phone: 424-266-7474
Thomas Pham, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4316 Motor Ave, Culver City, CA 90232 Phone: 510-461-4447
Lauren Wu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Inglewood Blvd Ste 101, Culver City, CA 90230 Phone: 310-392-8636
Michael A Kass, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave, Ste 502, Culver City, CA 90232 Phone: 310-204-7030 Fax: 310-204-7033

Dr Tyisha Lynn Seymour, MD - Medicare Pediatrics in Culver City, CA