Tysha Deve Ushry, LPCA is a medicare enrolled "Counselor - Mental Health" provider in Bayboro, North Carolina. She graduated from healthcare school in 2010 and has 15 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Second Chance Behavioral Health and her current practice location is
105 Dudley Ct, Bayboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 333-2789.
Tysha Deve Ushry is licensed to practice in North Carolina (license number A11560) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1306232475.
Healthcare Provider's Profile
| Full Name | Tysha Deve Ushry |
|---|
| Gender | Female |
|---|
| Speciality | Mental Health Counselor |
|---|
| Experience | 15 Years |
|---|
| Location | 105 Dudley Ct, Bayboro, North Carolina |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Tysha Deve Ushry graduated from medical school in 2010
NPI Data:
- NPI Number: 1306232475
- Provider Enumeration Date: 04/15/2015
- Last Update Date: 04/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 7315371853
- Enrollment ID: I20240628001559
Medical Identifiers
Medical identifiers for Tysha Deve Ushry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306232475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | A11560 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Second Chance Behavioral Health | 2961836408 | 8 |
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. Tysha Deve Ushry allows following entities to bill medicare on her behalf.
| Entity Name | Second Chance Behavioral Health |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1205341112
PECOS PAC ID: 2961836408
Enrollment ID: O20191217000301 |
|---|
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. Tysha Deve Ushry 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 |
|---|
Tysha Deve Ushry, LPCA
105 Dudley Ct,
Bayboro, NC 28515-9459
Ph: (910) 333-2789 | Tysha Deve Ushry, LPCA
105 Dudley Ct,
Bayboro, NC 28515-9459
Ph: (910) 333-2789 |
Reviews and Comments