Dr Tyra Tanner, DNP, RD, ANP, CNS is a medicare enrolled "Nurse Practitioner - Adult Health" provider in Chesterfield, Virginia. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Ellad Nutrition Consulting Llc, Ellad Nutrition Consulting Llc and her current practice location is
9401 Courthouse Rd, Ste 202, Chesterfield, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 616-4378.
Dr Tyra Tanner is licensed to practice in Virginia (license number 0024172296) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326340928.
Healthcare Provider's Profile
| Full Name | Dr Tyra Tanner |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 11 Years |
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| Location | 9401 Courthouse Rd, Chesterfield, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tyra Tanner graduated from medical school in 2014
NPI Data:
- NPI Number: 1326340928
- Provider Enumeration Date: 12/02/2010
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749438927
- Enrollment ID: I20130124000073
Medical Identifiers
Medical identifiers for Dr Tyra Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326340928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 2010029866 (Missouri) | Secondary |
| 163W00000X | Registered Nurse | 0001206597 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024172296 (Virginia) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 0015000947 (Virginia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 0024172296 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ellad Nutrition Consulting Llc | 8123271236 | 2 |
| | |
| Ellad Nutrition Consulting Llc | 8123271236 | 2 |
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. Dr Tyra Tanner allows following entities to bill medicare on her behalf.
| Provider Name | Ellad Nutrition Consulting Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700123064
PECOS PAC ID: 8123271236
Enrollment ID: O20130123000135 |
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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. Dr Tyra Tanner 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 |
|---|
Dr Tyra Tanner, DNP, RD, ANP, CNS
Po Box 2947,
Chesterfield, VA 23832-9118
Ph: (804) 616-4378 | Dr Tyra Tanner, DNP, RD, ANP, CNS
9401 Courthouse Rd, Ste 202,
Chesterfield, VA 23832-6687
Ph: (804) 616-4378 |
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