Tyshianna B Edwards, OTD in Horn Lake, MS - Medicare Occupational Therapist Provider

Tyshianna B Edwards, OTD is a medicare enrolled "Occupational Therapist" provider in Horn Lake, Mississippi. Her current practice location is 1751 Dancy Blvd Ste 2, Horn Lake, Mississippi. You can reach out to her office (for appointments etc.) via phone at (901) 292-5313.

Tyshianna B Edwards is licensed to practice in Mississippi (license number OT-3947) 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 1841926086.

Contact Information

	Tyshianna B Edwards, OTD
	1751 Dancy Blvd Ste 2, Horn Lake, MS 38637-1916
	(901) 292-5313
	(901) 867-1603

Map and Direction

Healthcare Provider's Profile

Full Name	Tyshianna B Edwards
Gender	Female
Speciality	Occupational Therapist
Location	1751 Dancy Blvd Ste 2, Horn Lake, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841926086
Provider Enumeration Date: 07/29/2022
Last Update Date: 07/29/2022

Medicare PECOS Information:

PECOS PAC ID: 4688023922
Enrollment ID: I20231212000632

Medical Identifiers

Medical identifiers for Tyshianna B Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841926086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT-3947 (Mississippi)	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. Tyshianna B Edwards allows following entities to bill medicare on her behalf.

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881271302 PECOS PAC ID: 5193036432 Enrollment ID: O20160126001261

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. Tyshianna B Edwards 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
Tyshianna B Edwards, OTD 11315 Mccormick Rd, Arlington, TN 38002-9512 Ph: (901) 461-7633	Tyshianna B Edwards, OTD 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637-1916 Ph: (901) 292-5313

Reviews and Comments

Occupational Therapist in Horn Lake, MS

Mrs. Taylor H Holden, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1751 Dancy Blvd, Ste 2, Horn Lake, MS 38637 Phone: 901-292-5313 Fax: 901-867-1603
Dr. Jackie D Nickson, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6664 Sinclair Dr, Horn Lake, MS 38637 Phone: 901-230-4982 Fax: 662-393-2673
Mr. Raul Suarez Jr., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6410 Collinwood Rd, Horn Lake, MS 38637 Phone: 432-703-0089

Tyshianna B Edwards, OTD - Medicare Occupational Therapist in Horn Lake, MS