Dr Tyra Lanee Tyson, MD is a
Internal Medicine physician based in Beech Island, South Carolina. Dr Tyra Lanee Tyson is licensed to practice in Florida (license number ME 107184) and her current practice location is 4645 Augusta Road, Beech Island, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 593-9283.
NPI number for Dr Tyra Lanee Tyson is 1255538534 and her current mailing address is 4645 Augusta Rd, Beech Island, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255538534.
Physician's Profile
Full Name | Dr Tyra Lanee Tyson |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 4645 Augusta Road, Beech Island, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255538534
- Provider Enumeration Date: 06/29/2007
- Last Update Date: 06/11/2012
Medical Identifiers
Medical identifiers for Dr Tyra Lanee Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255538534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | ME 107184 (Florida) | Primary |
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 Lanee Tyson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tyra Lanee Tyson, MD 4645 Augusta Rd, Beech Island, SC 29842-7265 Ph: (803) 593-9283 | Dr Tyra Lanee Tyson, MD 4645 Augusta Road, Beech Island, SC 29842 Ph: (803) 593-9283 |
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