Tyson Daniels, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Malad City, Idaho. His current practice location is
150 N 200 W, Malad City, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 766-2231.
Tyson Daniels is licensed to practice in Idaho (license number LCSW-36618) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487189163.
Healthcare Provider's Profile
Full Name | Tyson Daniels |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 150 N 200 W, Malad City, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487189163
- Provider Enumeration Date: 05/01/2017
- Last Update Date: 05/01/2017
Medicare PECOS Information:
- PECOS PAC ID: 3870860372
- Enrollment ID: I20170605002893
Medical Identifiers
Medical identifiers for Tyson Daniels such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487189163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LCSW-36618 (Idaho) | 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. Tyson Daniels allows following entities to bill medicare on his behalf.
Entity Name | Oneida County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225276454 PECOS PAC ID: 3476459108 Enrollment ID: O20031211000830 |
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Entity Name | Oneida County Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1609826270 PECOS PAC ID: 3476459108 Enrollment ID: O20061104000543 |
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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. Tyson Daniels 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 |
Tyson Daniels, LCSW 150 N 200 W, Malad City, ID 83252-1239 Ph: (208) 766-2231 | Tyson Daniels, LCSW 150 N 200 W, Malad City, ID 83252-1239 Ph: (208) 766-2231 |
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