Ashley Tyisha Sydnor, CRNP-FAMILY, PMHNP in Baltimore, MD

Ashley Tyisha Sydnor, CRNP-FAMILY, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baltimore, Maryland. Her current practice location is 2527 Greenmount Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 827-3802.

Ashley Tyisha Sydnor is licensed to practice in Maryland (license number R233847) 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 1750996930.

Contact Information

	Ashley Tyisha Sydnor, CRNP-FAMILY, PMHNP
	2527 Greenmount Ave, Baltimore, MD 21218-4721
	(443) 827-3802
	Not Available

Map and Direction

Provider's Profile

Full Name	Ashley Tyisha Sydnor
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2527 Greenmount Ave, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750996930
Provider Enumeration Date: 09/14/2020
Last Update Date: 07/03/2024

Medicare PECOS Information:

PECOS PAC ID: 4183023625
Enrollment ID: I20210603000213

Medical Identifiers

Medical identifiers for Ashley Tyisha Sydnor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750996930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R233847 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R233847 (Maryland)	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. Ashley Tyisha Sydnor allows following entities to bill medicare on her behalf.

Entity Name	Mnr Industries Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457478703 PECOS PAC ID: 7416908843 Enrollment ID: O20050204000088

Entity Name	Holistic Health And Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396355129 PECOS PAC ID: 3476941592 Enrollment ID: O20211022000386

Entity Name	Heart Own Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689459489 PECOS PAC ID: 6507306149 Enrollment ID: O20240910000675

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. Ashley Tyisha Sydnor 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
Ashley Tyisha Sydnor, CRNP-FAMILY, PMHNP 3905 Ednor Rd, Baltimore, MD 21218-2054 Ph: (443) 827-3802	Ashley Tyisha Sydnor, CRNP-FAMILY, PMHNP 2527 Greenmount Ave, Baltimore, MD 21218-4721 Ph: (443) 827-3802

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Ashley Tyisha Sydnor, CRNP-FAMILY, PMHNP - Medicare Nurse Practitioner in Baltimore, MD