Mrs Tyesha Dawn Marie Dent, PA-C is a medicare enrolled "Physician Assistant - Medical" in Elgin, North Dakota. Her current practice location is
302 North Main, Elgin, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 584-3010.
Mrs Tyesha Dawn Marie Dent is licensed to practice in North Dakota (license number PAC0361) 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 1811036247.
Provider's Profile
| Full Name | Mrs Tyesha Dawn Marie Dent |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 302 North Main, Elgin, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811036247
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052411956
- Enrollment ID: I20070719000180
Medical Identifiers
Medical identifiers for Mrs Tyesha Dawn Marie Dent such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811036247 | NPI | - | NPPES |
| 11228 | Medicaid | ND | |
| 28537 | Other | ND | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PAC0361 (North Dakota) | 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. Mrs Tyesha Dawn Marie Dent allows following entities to bill medicare on her behalf.
| Entity Name | St Aloisius Hospital Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1457477218
PECOS PAC ID: 6002802378
Enrollment ID: O20080421000213 |
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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. Mrs Tyesha Dawn Marie Dent 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 |
|---|
Mrs Tyesha Dawn Marie Dent, PA-C
6857 Hwy. 21,
Elgin, ND 58533
Ph: (701) 584-3246 | Mrs Tyesha Dawn Marie Dent, PA-C
302 North Main,
Elgin, ND 58533
Ph: (701) 584-3010 |
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