Mimi Tyson, in North Bethesda, MD - Medicare Nurse Practitioner

Mimi Tyson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in North Bethesda, Maryland. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cervello-wellness Llc and her current practice location is 6010 Executive Blvd Ste 700, North Bethesda, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 392-7120.

Mimi Tyson is licensed to practice in Virginia (license number 0024177697) 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 1952960924.

Contact Information

	Mimi Tyson,
	6010 Executive Blvd Ste 700, North Bethesda, MD 20852-3885
	(301) 392-7120
	(301) 259-3820

Map and Direction

Provider's Profile

Full Name	Mimi Tyson
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	6010 Executive Blvd Ste 700, North Bethesda, Maryland
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:

Mimi Tyson graduated from nursing school in 2019

NPI Data:

NPI Number: 1952960924
Provider Enumeration Date: 06/12/2019
Last Update Date: 02/03/2025

Medicare PECOS Information:

PECOS PAC ID: 2567790470
Enrollment ID: I20190829002568

Medical Identifiers

Medical identifiers for Mimi Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952960924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R180111 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024177697 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cervello-wellness Llc	5890118004	2

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. Mimi Tyson allows following entities to bill medicare on her behalf.

Entity Name	Cervello-wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083239255 PECOS PAC ID: 5890118004 Enrollment ID: O20200707001485

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. Mimi 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 Address	Practice Location Address
Mimi Tyson, 4014 Diamondhead Ave, Bowie, MD 20721-1308 Ph: (301) 828-5239	Mimi Tyson, 6010 Executive Blvd Ste 700, North Bethesda, MD 20852-3885 Ph: (301) 392-7120

Reviews and Comments

Nurse Practitioner Nurses in North Bethesda, MD

Jessica Durkin Morgan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6000 Executive Blvd Ste 625, North Bethesda, MD 20852 Phone: 240-314-7080
Daphne Pratt, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5550 Tuckerman Ln, North Bethesda, MD 20852 Phone: 301-897-8566
Leigh Anna Cole, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11870 Grand Park Ave Apt 902, North Bethesda, MD 20852 Phone: 734-717-2328
Mrs. Kimberly Nieves, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 911 Meeting St, North Bethesda, MD 20852 Phone: 888-663-6331 Fax: 415-252-7176
Christine Cernoch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11801 Rockville Pike Apt 1604, North Bethesda, MD 20852 Phone: 301-642-0818
Josephine Moore, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11810 Grand Park Ave Ste 500, North Bethesda, MD 20852 Phone: 240-856-1393
Beth Renne, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6000 Executive Blvd, Suite 304, North Bethesda, MD 20852 Phone: 240-221-0000 Fax: 240-221-0441

Mimi Tyson, - Medicare Nurse Practitioner in North Bethesda, MD