Vincent Tyson, in Oakland Park, FL - Medicare Nurse Practitioner

Vincent Tyson, is a medicare enrolled "Nurse Practitioner - Gerontology" in Oakland Park, Florida. His current practice location is 5333 N Dixie Hwy Ste 110, Oakland Park, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 772-8554.

Vincent Tyson is licensed to practice in Washington (license number AP61299531) 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 1003245457.

Contact Information

	Vincent Tyson,
	5333 N Dixie Hwy Ste 110, Oakland Park, FL 33334-3453
	(954) 772-8554
	Not Available

Map and Direction

Provider's Profile

Full Name	Vincent Tyson
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	5333 N Dixie Hwy Ste 110, Oakland Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003245457
Provider Enumeration Date: 11/06/2013
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 1355572520
Enrollment ID: I20200825001526

Medical Identifiers

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

Identifier	Type	State	Issuer
1003245457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	SPO13376 (Pennsylvania)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	11005143 (Florida)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP61299531 (Washington)	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. Vincent Tyson allows following entities to bill medicare on his behalf.

Entity Name	Lifeway Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568477156 PECOS PAC ID: 6406863034 Enrollment ID: O20060307000606

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. Vincent 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
Vincent Tyson, 441 Se 3rd Ct, Deerfield Beach, FL 33441-4727 Ph: (516) 661-1805	Vincent Tyson, 5333 N Dixie Hwy Ste 110, Oakland Park, FL 33334-3453 Ph: (954) 772-8554

Reviews and Comments

Nurse Practitioner Nurses in Oakland Park, FL

Marjorie Claudine Jadotte, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2350 W Oakland Park Blvd Ste 900, Oakland Park, FL 33311 Phone: 772-361-3051
Ariel Elise Santiago, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334 Phone: 954-561-6222 Fax: 954-990-7650
Mrs. Eileen Agnes Diaz, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5599 N Dixie Hwy, Veterans Administration Opopc, Oakland Park, FL 33334 Phone: 954-229-7604 Fax: 954-229-7771
Rebecca Lynn Flayman, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3101 N Federal Hwy Ste 610, Oakland Park, FL 33306 Phone: 954-565-9966 Fax: 954-565-0535
Shadia Cardoso, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 E Commercial Blvd, Oakland Park, FL 33334 Phone: 954-656-3186 Fax: 954-656-3193
Laura M Bennett, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 E Commercial Blvd, Oakland Park, FL 33334 Phone: 954-821-7358

Vincent Tyson, - Medicare Nurse Practitioner in Oakland Park, FL