Ms Tykiesha Mcdaniel Wilson, FNP - Medicare Nurse Practitioner in Ridgeway, VA

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Ms Tykiesha Mcdaniel Wilson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ridgeway, Virginia. Her current practice location is 4944 Greensboro Rd, Ridgeway, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 956-1629.

Ms Tykiesha Mcdaniel Wilson is licensed to practice in Virginia (license number 0024192215) 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 1396576724.

Contact Information

Ms Tykiesha Mcdaniel Wilson, FNP
4944 Greensboro Rd,
Ridgeway, VA 24148-3390
(276) 956-1629
Not Available

Map and Direction




Provider's Profile

Full NameMs Tykiesha Mcdaniel Wilson
GenderFemale
SpecialityNurse Practitioner - Family
Location4944 Greensboro Rd, Ridgeway, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396576724
  • Provider Enumeration Date: 08/08/2024
  • Last Update Date: 01/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3577084938
  • Enrollment ID: I20250303000927

Medical Identifiers

Medical identifiers for Ms Tykiesha Mcdaniel Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396576724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024192215 (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. Ms Tykiesha Mcdaniel Wilson allows following entities to bill medicare on her behalf.
Entity NameMartinsville Henry County Coalition For Health And Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063608081
PECOS PAC ID: 4385717552
Enrollment ID: O20080721000741

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. Ms Tykiesha Mcdaniel Wilson 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
Ms Tykiesha Mcdaniel Wilson, FNP
4944 Greensboro Rd,
Ridgeway, VA 24148-3390

Ph: (276) 638-0787		Ms Tykiesha Mcdaniel Wilson, FNP
4944 Greensboro Rd,
Ridgeway, VA 24148-3390

Ph: (276) 956-1629

Reviews and Comments


Nurse Practitioner Nurses in Ridgeway, VA

Jennifer Sheridan Humphrey, MSN, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 6890 Greensboro Rd, Ridgeway, VA 24148
Phone: 276-956-1013    Fax: 276-956-1016
Joanna Lynn Carter, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4944 Greensboro Rd, Ridgeway, VA 24148
Phone: 276-956-2233    Fax: 276-956-1629
Mr. Fred Allen Smith Jr., DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4944 Greensboro Rd, Ridgeway, VA 24148
Phone: 276-956-2233    
Mrs. Amanda L Keith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4944 Greensboro Rd, Ridgeway, VA 24148
Phone: 276-956-2233    Fax: 276-956-1629
Luzmila Zona Via, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4944 Greensboro Rd, Ridgeway, VA 24148
Phone: 276-638-0787    
Mari-tate Kendrick, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6890 Greensboro Rd, Ridgeway, VA 24148
Phone: 276-956-1013    

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.