Tyna Boccarossa, CMT is a
Massage Therapist based in Newburg, Maryland. Tyna Boccarossa is licensed to practice in Maryland (license number M01503) and her current practice location is
12412 Channelview Dr, Newburg, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 536-3897.
NPI number for Tyna Boccarossa is 1679931265 and her current mailing address is 12412 Channelview Dr, Newburg, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679931265.
Healthcare Provider's Profile
Full Name | Tyna Boccarossa |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 12412 Channelview Dr, Newburg, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679931265
- Provider Enumeration Date: 02/10/2016
- Last Update Date: 02/10/2016
Medical Identifiers
Medical identifiers for Tyna Boccarossa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679931265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | M01503 (Maryland) | 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. Tyna Boccarossa 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 |
Tyna Boccarossa, CMT 12412 Channelview Dr, Newburg, MD 20664-2212 Ph: (301) 536-3897 | Tyna Boccarossa, CMT 12412 Channelview Dr, Newburg, MD 20664-2212 Ph: (301) 536-3897 |
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