Tyra Shae Quintana, MA LPC-MHSP (TEMP) is a medicare enrolled "Counselor - Professional" provider in Morrison, Tennessee. Her current practice location is
5736 Manchester Hwy, Morrison, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 815-3871.
Tyra Shae Quintana is licensed to practice in Tennessee (license number 6654) 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 1417737115.
Healthcare Provider's Profile
Full Name | Tyra Shae Quintana |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 5736 Manchester Hwy, Morrison, Tennessee |
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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: 1417737115
- Provider Enumeration Date: 10/02/2023
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274984885
- Enrollment ID: I20240116001313
Medical Identifiers
Medical identifiers for Tyra Shae Quintana such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417737115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 6654 (Tennessee) | 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. Tyra Shae Quintana allows following entities to bill medicare on her behalf.
Entity Name | Generations Health Association, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245212380 PECOS PAC ID: 3779491907 Enrollment ID: O20041208000500 |
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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. Tyra Shae Quintana 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 |
Tyra Shae Quintana, MA LPC-MHSP (TEMP) 5736 Manchester Hwy, Morrison, TN 37357-7503 Ph: (931) 815-3871 | Tyra Shae Quintana, MA LPC-MHSP (TEMP) 5736 Manchester Hwy, Morrison, TN 37357-7503 Ph: (931) 815-3871 |
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