Tyler Brooks Keziah, LPC, LCAS, CSI in Asheboro, NC

Tyler Brooks Keziah, LPC, LCAS, CSI is a medicare enrolled "Counselor" provider in Asheboro, North Carolina. His current practice location is 110 W Walker Ave, Asheboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 633-7000.

Tyler Brooks Keziah is licensed to practice in North Carolina (license number 7792) 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 1376860643.

Contact Information

	Tyler Brooks Keziah, LPC, LCAS, CSI
	110 W Walker Ave, Asheboro, NC 27203-6760
	(336) 633-7000
	(336) 625-3817

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Brooks Keziah
Gender	Male
Speciality	Counselor
Location	110 W Walker Ave, Asheboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376860643
Provider Enumeration Date: 04/27/2010
Last Update Date: 05/09/2017

Medicare PECOS Information:

PECOS PAC ID: 3375980063
Enrollment ID: I20240318000464

Medical Identifiers

Medical identifiers for Tyler Brooks Keziah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376860643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1889 (North Carolina)	Secondary
101Y00000X	Counselor	7792 (North Carolina)	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. Tyler Brooks Keziah allows following entities to bill medicare on his behalf.

Entity Name	Daymark Recovery Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213

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. Tyler Brooks Keziah 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
Tyler Brooks Keziah, LPC, LCAS, CSI 284 Executive Park Dr, Suite 100, Concord, NC 28025-1831 Ph: (704) 939-1100	Tyler Brooks Keziah, LPC, LCAS, CSI 110 W Walker Ave, Asheboro, NC 27203-6760 Ph: (336) 633-7000

Reviews and Comments

Counselor in Asheboro, NC

Mrs. Litha Strother Charles, M.ED., LCMHCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 379 S Cox St, Asheboro, NC 27203 Phone: 336-860-3262 Fax: 336-521-7550
Erica Scales, LCMHC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 S Church St, Asheboro, NC 27203 Phone: 336-707-9338
Ms. Sarah Nash Mcneill, MS, LPAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Woodhaven Dr, Asheboro, NC 27205 Phone: 336-653-7388
Mrs. Felicia Reese, M.S. LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 962 S Fayetteville St, Asheboro, NC 27203 Phone: 336-266-1815
Ms. Karen D Caviness, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Lindley Ave, Asheboro, NC 27203 Phone: 336-625-6982
Mrs. Marydale Morgan Worboys, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1130 S Church St Ste C, Asheboro, NC 27203 Phone: 336-629-9589
Brandy Rae Carlton, LCMHC, LCAS-A Counselor Medicare: Medicare Enrolled Practice Location: 135 Macarthur St, Asheboro, NC 27203 Phone: 366-689-9723 Fax: 855-941-6011

Tyler Brooks Keziah, LPC, LCAS, CSI - Medicare Counselor in Asheboro, NC