Nathan Tyson, in Marietta, GA - Medicare Nurse Practitioner

Nathan Tyson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Marietta, Georgia. His current practice location is 1012 Coggins Pl Ne, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 422-2009.

Nathan Tyson is licensed to practice in Georgia (license number RN297062) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497536882.

Contact Information

	Nathan Tyson,
	1012 Coggins Pl Ne, Marietta, GA 30060-2585
	(770) 422-2009
	Not Available

Map and Direction

Provider's Profile

Full Name	Nathan Tyson
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1012 Coggins Pl Ne, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497536882
Provider Enumeration Date: 10/11/2023
Last Update Date: 04/24/2025

Medicare PECOS Information:

PECOS PAC ID: 4284071267
Enrollment ID: I20240326003001

Medical Identifiers

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

Identifier	Type	State	Issuer
1497536882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	12486 (Connecticut)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN297062 (Georgia)	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. Nathan Tyson allows following entities to bill medicare on his behalf.

Entity Name	Advanced Telepsych Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508456377 PECOS PAC ID: 6800275603 Enrollment ID: O20230106001717

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. Nathan 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
Nathan Tyson, 22 Airline St Ne Unit 405, Atlanta, GA 30312-2015 Ph: (860) 803-6920	Nathan Tyson, 1012 Coggins Pl Ne, Marietta, GA 30060-2585 Ph: (770) 422-2009

Reviews and Comments

Nurse Practitioner Nurses in Marietta, GA

Mrs. Jennifer Irene Sarno, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 400, Marietta, GA 30060 Phone: 770-422-3602
Donna Marie Liming, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3405 Dallas Hwy Sw Ste 200, Marietta, GA 30064 Phone: 678-802-8665 Fax: 678-540-4250
Stacey Glass Malstrom, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893
Tanisha Leonard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-528-9938
Julie J Baute, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne Ste 205, Marietta, GA 30060 Phone: 678-224-6198
Dr. Ibisa Comfort Onyirimba, DNP, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2481 Hurt Rd Sw, Marietta, GA 30008 Phone: 404-934-2420
Mrs. Susan Wanjiku Kamau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1579 Sage Ridge Dr, Marietta, GA 30064 Phone: 404-643-0444

Nathan Tyson, - Medicare Nurse Practitioner in Marietta, GA