Tysha Deve Ushry, LPCA is a medicare enrolled "Counselor - Mental Health" provider in Bayboro, North Carolina. 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 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 1306232475.
Healthcare Provider's Profile
Full Name | Tysha Deve Ushry |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 105 Dudley Ct, Bayboro, North Carolina |
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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: 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 |
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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205341112 PECOS PAC ID: 2961836408 Enrollment ID: O20191217000301 |
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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. 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 |
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