Mrs Tyra Shepherd, CCMA is a
Physician Assistant - Medical based in Mccordsville, Indiana. Mrs Tyra Shepherd is licensed to practice in * (Not Available) (license number ) and her current practice location is
5698 Teak Ln, Mccordsville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 313-7408.
NPI number for Mrs Tyra Shepherd is 1316744618 and her current mailing address is 8245 E 96th St # 1057, Indianapolis, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316744618.
Provider's Profile
Full Name | Mrs Tyra Shepherd |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 5698 Teak Ln, Mccordsville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316744618
- Provider Enumeration Date: 02/25/2025
- Last Update Date: 02/25/2025
Medical Identifiers
Medical identifiers for Mrs Tyra Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316744618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
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 Tyra Shepherd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tyra Shepherd, CCMA 8245 E 96th St # 1057, Indianapolis, IN 46256-1013 Ph: (317) 707-6884 | Mrs Tyra Shepherd, CCMA 5698 Teak Ln, Mccordsville, IN 46055-0106 Ph: (317) 313-7408 |
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