Dr Tiesha Simona Nelson, PSYD in Sunrise, FL - Medicare Psychologist Provider

Dr Tiesha Simona Nelson, PSYD is a medicare enrolled "Psychologist" provider in Sunrise, Florida. Her current practice location is 8360 W Oakland Park Blvd Ste 303, Sunrise, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 546-4677.

Dr Tiesha Simona Nelson is licensed to practice in Florida (license number PY 7781) 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 1548407919.

Contact Information

	Dr Tiesha Simona Nelson, PSYD
	8360 W Oakland Park Blvd Ste 303, Sunrise, FL 33351-7339
	(954) 546-4677
	(941) 328-3575

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tiesha Simona Nelson
Gender	Female
Speciality	Psychologist
Location	8360 W Oakland Park Blvd Ste 303, Sunrise, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548407919
Provider Enumeration Date: 01/07/2009
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 9234294489
Enrollment ID: I20250130001790

Medical Identifiers

Medical identifiers for Dr Tiesha Simona Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548407919	NPI	-	NPPES
106660500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0400X	Psychologist - Addiction (substance Use Disorder)	PY7781 (Florida)	Secondary
103TC0700X	Psychologist - Clinical	PY7781 (Florida)	Secondary
103TF0200X	Psychologist - Forensic	PY7781 (Florida)	Secondary
103T00000X	Psychologist	PY 7781 (Florida)	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. Dr Tiesha Simona Nelson allows following entities to bill medicare on her behalf.

Entity Name	Nelson Psychological Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548814189 PECOS PAC ID: 8527597921 Enrollment ID: O20250130001712

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. Dr Tiesha Simona Nelson 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
Dr Tiesha Simona Nelson, PSYD 8360 W Oakland Park Blvd Ste 303, Sunrise, FL 33351-7339 Ph: (954) 546-4677	Dr Tiesha Simona Nelson, PSYD 8360 W Oakland Park Blvd Ste 303, Sunrise, FL 33351-7339 Ph: (954) 546-4677

Reviews and Comments

Psychologist in Sunrise, FL

Dr. Jonina Daum Bolton, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4300 N University Dr, Suite C-100, Sunrise, FL 33351 Phone: 954-742-7449 Fax: 954-742-7169
Jused Graciela Melian, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 440 Sawgrass Corporate Pkwy, Sunrise, FL 33325 Phone: 954-754-1112
Mrs. Maria E. Ruiz, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325 Phone: 954-745-1112
Dr. Mariah Alise Melissa Corneille, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 9800 W Commercial Blvd, Sunrise, FL 33351 Phone: 954-475-5500
Miss Michelle Rene Demenkow, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 14201 W Sunrise Blvd, Suite 208, Sunrise, FL 33323 Phone: 954-851-9690 Fax: 954-851-9688
Daniel Alejandro Victoria, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 440 Sawgrass Corporate Pkwy, Sunrise, FL 33325 Phone: 954-745-1112 Fax: 954-745-1120
Ana Isabel Garcia, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 440 Sawgrass Corporate Pkwy, Suite 106, Sunrise, FL 33325 Phone: 954-515-2770

Dr Tiesha Simona Nelson, PSYD - Medicare Psychologist in Sunrise, FL