Brooklee Lightsey Tynes, MA in Hattiesburg, MS - Medicare Psychologist Provider

Brooklee Lightsey Tynes, MA is a medicare enrolled "Psychologist - Clinical" provider in Hattiesburg, Mississippi. Her current practice location is 102 Medical Park Ste B, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 261-1650.

Brooklee Lightsey Tynes is licensed to practice in Mississippi (license number 631171) 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 1255783056.

Contact Information

	Brooklee Lightsey Tynes, MA
	102 Medical Park Ste B, Hattiesburg, MS 39401-9080
	(601) 261-1650
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooklee Lightsey Tynes
Gender	Female
Speciality	Psychologist - Clinical
Location	102 Medical Park Ste B, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255783056
Provider Enumeration Date: 07/06/2016
Last Update Date: 08/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3375942352
Enrollment ID: I20210524002210

Medical Identifiers

Medical identifiers for Brooklee Lightsey Tynes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255783056	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	631171 (Mississippi)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary

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. Brooklee Lightsey Tynes allows following entities to bill medicare on her behalf.

Entity Name	Faith Regional Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265489157 PECOS PAC ID: 5193786168 Enrollment ID: O20041022000558

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. Brooklee Lightsey Tynes 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
Brooklee Lightsey Tynes, MA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 264-6000	Brooklee Lightsey Tynes, MA 102 Medical Park Ste B, Hattiesburg, MS 39401-9080 Ph: (601) 261-1650

Reviews and Comments

Psychologist in Hattiesburg, MS

Dr. Kristy Disabatino Mcraney, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 129 Golden Eagle Avenue Rm 201, Hattiesburg, MS 39406 Phone: 601-266-4588 Fax: 601-266-6928
Lynwood Clinton Wheeler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 102 Medical Park, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-545-1740
John Clemmons, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 239 Methodist Blvd, Hattiesburg, MS 39402 Phone: 601-296-2125 Fax: 601-268-8645
Marcia J Hartwig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5720
Ryan Myles Denney, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Southern Point Pkwy, Suite 200, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-268-2039
John Richard Harsh, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Courtenay Cir, Hattiesburg, MS 39402 Phone: 601-579-5180
Dr. Sidne Buelow, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 104 Dogwood Dr, Hattiesburg, MS 39402 Phone: 601-818-3079

Brooklee Lightsey Tynes, MA - Medicare Psychologist in Hattiesburg, MS