Kathleen Ann Tyson, - Medicare Advanced Practice Midwife in Centreville, VA

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Kathleen Ann Tyson, is a medicare enrolled "Advanced Practice Midwife" in Centreville, Virginia. Her current practice location is 14701 Lee Hwy Ste 303, Centreville, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 830-4388.

Kathleen Ann Tyson is licensed to practice in Virginia (license number 0024177081) 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 1538642426.

Contact Information

Kathleen Ann Tyson,
14701 Lee Hwy Ste 303,
Centreville, VA 20121-2135
(703) 830-4388
Not Available

Map and Direction




Provider's Profile

Full NameKathleen Ann Tyson
GenderFemale
SpecialityAdvanced Practice Midwife
Location14701 Lee Hwy Ste 303, Centreville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538642426
  • Provider Enumeration Date: 09/07/2018
  • Last Update Date: 12/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3072843556
  • Enrollment ID: I20190926000012

Medical Identifiers

Medical identifiers for Kathleen Ann Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538642426NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 0024177081 (Virginia)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. Kathleen Ann Tyson allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298

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. Kathleen Ann Tyson 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 AddressPractice Location Address
Kathleen Ann Tyson,
14701 Lee Hwy Ste 303,
Centreville, VA 20121-2135

Ph: () -		Kathleen Ann Tyson,
14701 Lee Hwy Ste 303,
Centreville, VA 20121-2135

Ph: (703) 830-4388

Reviews and Comments


Advanced Practice Midwife Nurses in Centreville, VA

Alexa Alvey Flowers, CNM, MSN, C-EFM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 14701 Route 29 Ste 303, Centreville, VA 20121
Phone: 703-830-4388    
Mary E Harris, APRN, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 14701 Route 29 Ste 303, Centreville, VA 20121
Phone: 703-830-4388    Fax: 703-830-4188
Shadonna Williams, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 14701 Lee Hwy Ste 303, Centreville, VA 20121
Phone: 703-830-4388    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.