Tyesha Sharee Alexander, LPC is a medicare enrolled "Psychologist - Clinical" provider in Milwaukee, Wisconsin. Her current practice location is
3790 N 12th St, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 562-3332.
Tyesha Sharee Alexander is licensed to practice in Texas (license number 36934) 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 1578877007.
Healthcare Provider's Profile
Full Name | Tyesha Sharee Alexander |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 3790 N 12th St, Milwaukee, Wisconsin |
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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: 1578877007
- Provider Enumeration Date: 07/26/2010
- Last Update Date: 03/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 2668779406
- Enrollment ID: I20160323000051
Medical Identifiers
Medical identifiers for Tyesha Sharee Alexander such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578877007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 48226 (Wisconsin) | Secondary |
103TC0700X | Psychologist - Clinical | 36934 (Texas) | 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. Tyesha Sharee Alexander allows following entities to bill medicare on her behalf.
Entity Name | Onsite Counseling Of Texas, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386277994 PECOS PAC ID: 7416376298 Enrollment ID: O20200928002417 |
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Entity Name | Sarah Street Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962094748 PECOS PAC ID: 0648679928 Enrollment ID: O20210519002151 |
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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. Tyesha Sharee Alexander 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 |
Tyesha Sharee Alexander, LPC 3790 N 12th St, Milwaukee, WI 53206-3003 Ph: (414) 562-3332 | Tyesha Sharee Alexander, LPC 3790 N 12th St, Milwaukee, WI 53206-3003 Ph: (414) 562-3332 |
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