Tyshawn Kingsberry, LCSW in Covington, GA - Medicare Clinical Social Worker Provider

Tyshawn Kingsberry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Covington, Georgia. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lifesource Of North Carolina and her current practice location is 160 Camerons Way, Covington, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 348-3948.

Tyshawn Kingsberry is licensed to practice in Georgia (license number CSW006341) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932297652.

Contact Information

	Tyshawn Kingsberry, LCSW
	160 Camerons Way, Covington, GA 30016-1162
	(404) 348-3948
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyshawn Kingsberry
Gender	Female
Speciality	Clinical Social Worker
Experience	29 Years
Location	160 Camerons Way, Covington, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tyshawn Kingsberry graduated from medical school in 1995

NPI Data:

NPI Number: 1932297652
Provider Enumeration Date: 10/10/2006
Last Update Date: 01/31/2018

Medicare PECOS Information:

PECOS PAC ID: 6305186933
Enrollment ID: I20190319001056

Medical Identifiers

Medical identifiers for Tyshawn Kingsberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932297652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW006341 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifesource Of North Carolina	7416132428	154

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. Tyshawn Kingsberry allows following entities to bill medicare on her behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747

Entity Name	Journey To Inner Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205695194 PECOS PAC ID: 1658713417 Enrollment ID: O20240524000171

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. Tyshawn Kingsberry 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
Tyshawn Kingsberry, LCSW 160 Camerons Way, Covington, GA 30016-1162 Ph: () -	Tyshawn Kingsberry, LCSW 160 Camerons Way, Covington, GA 30016-1162 Ph: (404) 348-3948

Reviews and Comments

Social Worker in Covington, GA

Stephanie E. Moultrie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8201 Hazelbrand Rd Ne, Covington, GA 30014 Phone: 770-787-3977
Melissa Patrick, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5108 Newton Dr Ne, Covington, GA 30014 Phone: 678-712-6898
Mrs. Phebee Vun Henderson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8201 Hazelbrand Rd Ne, Covington, GA 30014 Phone: 770-787-3977 Fax: 770-784-3022
Catreshia Brundage, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 Brighton Ridge Ln, Covington, GA 30016 Phone: 706-473-0241
Denise K Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Oak Ridge Ct, Covington, GA 30016 Phone: 302-213-4609
Matthew Scott Henderson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3155 Mill St Ne, Covington, GA 30014 Phone: 678-712-6520 Fax: 678-712-6521
Samia Michelle Solaiman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3155 Mill St Ne, Covington, GA 30014 Phone: 678-712-6520 Fax: 678-712-6521

Tyshawn Kingsberry, LCSW - Medicare Clinical Social Worker in Covington, GA