Ms Kelly Victoria Tyus, CCC-A is a medicare enrolled "Audiologist" provider in Hendersonville, Tennessee. Her current practice location is
353 New Shackle Island Rd, Suite 202-a, Hendersonville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 851-3901.
Ms Kelly Victoria Tyus is licensed to practice in Kentucky (license number SLPAUD00218466) 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 1659730117.
Healthcare Provider's Profile
| Full Name | Ms Kelly Victoria Tyus |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 353 New Shackle Island Rd, Hendersonville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659730117
- Provider Enumeration Date: 02/12/2016
- Last Update Date: 02/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 7517224413
- Enrollment ID: I20220413000449
Medical Identifiers
Medical identifiers for Ms Kelly Victoria Tyus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659730117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | SLPAUD00218466 (Kentucky) | Primary |
| 237700000X | Hearing Instrument Specialist | 577 (Tennessee) | 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. Ms Kelly Victoria Tyus allows following entities to bill medicare on her behalf.
| Provider Name | Mobile Hearing Of Tennessee |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1790153583
PECOS PAC ID: 3072818517
Enrollment ID: O20160222002455 |
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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. Ms Kelly Victoria Tyus 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 |
|---|
Ms Kelly Victoria Tyus, CCC-A
353 New Shackle Island Rd, Suite 202-a,
Hendersonville, TN 37075-2379
Ph: (615) 851-3901 | Ms Kelly Victoria Tyus, CCC-A
353 New Shackle Island Rd, Suite 202-a,
Hendersonville, TN 37075-2379
Ph: (615) 851-3901 |
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