Soonja Tyrrell, APRN-RX, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Honolulu, Hawaii. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Five Mountains Hawaii, Inc and her current practice location is
928 Nuuanu Ave Lowr Level, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 664-1104.
Soonja Tyrrell is licensed to practice in Hawaii (license number APRN-3489) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659937878.
Physician's Profile
| Full Name | Soonja Tyrrell |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 7 Years |
|---|
| Location | 928 Nuuanu Ave Lowr Level, Honolulu, Hawaii |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Soonja Tyrrell graduated from medical school in 2018
NPI Data:
- NPI Number: 1659937878
- Provider Enumeration Date: 05/13/2019
- Last Update Date: 06/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254667421
- Enrollment ID: I20220615002708
Medical Identifiers
Medical identifiers for Soonja Tyrrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659937878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | APRN-3489 (Hawaii) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN-3489 (Hawaii) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Five Mountains Hawaii, Inc | 4880817840 | 8 |
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. Soonja Tyrrell allows following entities to bill medicare on her behalf.
| Entity Name | Five Mountains Hawaii, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215359989
PECOS PAC ID: 4880817840
Enrollment ID: O20140520000022 |
|---|
| Entity Name | Aloha Mental Wellness Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1811531338
PECOS PAC ID: 5698154052
Enrollment ID: O20220615002644 |
|---|
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. Soonja Tyrrell 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 |
|---|
Soonja Tyrrell, APRN-RX, PMHNP-BC
Po Box 60599,
Ewa Beach, HI 96706-7599
Ph: (808) 664-1104 | Soonja Tyrrell, APRN-RX, PMHNP-BC
928 Nuuanu Ave Lowr Level,
Honolulu, HI 96817-5193
Ph: (808) 664-1104 |
Reviews and Comments