Tyra Valteau-sorapuru, LCSW is a medicare enrolled "Social Worker - Clinical" provider in New Orleans, Louisiana. Her current practice location is
2521 Jena St Fl 2, New Orleans, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(504) 475-8312.
Tyra Valteau-sorapuru is licensed to practice in Louisiana (license number 3791) 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 1225789407.
Healthcare Provider's Profile
Full Name | Tyra Valteau-sorapuru |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2521 Jena St Fl 2, New Orleans, Louisiana |
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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: 1225789407
- Provider Enumeration Date: 01/10/2022
- Last Update Date: 10/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799132270
- Enrollment ID: I20231104000413
Medical Identifiers
Medical identifiers for Tyra Valteau-sorapuru such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225789407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 3791 (Louisiana) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 3791 (Louisiana) | 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 Valteau-sorapuru allows following entities to bill medicare on her behalf.
Entity Name | Azalea Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043999170 PECOS PAC ID: 8628432028 Enrollment ID: O20230919002265 |
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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 Valteau-sorapuru 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 Valteau-sorapuru, LCSW 2521 Jena St Fl 2, New Orleans, LA 70115-6322 Ph: (504) 475-8312 | Tyra Valteau-sorapuru, LCSW 2521 Jena St Fl 2, New Orleans, LA 70115-6322 Ph: (504) 475-8312 |
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