Dr Tina Denise Mcdyess, PHD in Ellisville, MS

Dr Tina Denise Mcdyess, PHD is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ellisville, Mississippi. Her current practice location is 5192 Highway 11 N, Ellisville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 479-4457.

Dr Tina Denise Mcdyess is licensed to practice in Mississippi (license number 905967) 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 1689393407.

Contact Information

	Dr Tina Denise Mcdyess, PHD
	5192 Highway 11 N, Ellisville, MS 39437-5050
	(601) 479-4457
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Tina Denise Mcdyess
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5192 Highway 11 N, Ellisville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689393407
Provider Enumeration Date: 08/24/2022
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 0143684894
Enrollment ID: I20230913002248

Medical Identifiers

Medical identifiers for Dr Tina Denise Mcdyess such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689393407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	905967 (Mississippi)	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. Dr Tina Denise Mcdyess allows following entities to bill medicare on her behalf.

Entity Name	Region 12 Commission On Mental Health & Retardation Pine Belt Men
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982610572 PECOS PAC ID: 3971561747 Enrollment ID: O20041227000393

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 Tina Denise Mcdyess 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 Tina Denise Mcdyess, PHD 401 Belmont Ave, Newton, MS 39345-2566 Ph: (601) 479-4457	Dr Tina Denise Mcdyess, PHD 5192 Highway 11 N, Ellisville, MS 39437-5050 Ph: (601) 479-4457

Reviews and Comments

Nurse Practitioner Nurses in Ellisville, MS

Mrs. Stephanie D. Smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Hwy 11 S, Ellisville, MS 39437 Phone: 601-477-5770
Jessie Watson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1203 B Ave, Ellisville, MS 39437 Phone: 601-477-3550
Marlana Perkins Hedgepeth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Hal Crocker Rd, Ellisville, MS 39437 Phone: 601-477-2221 Fax: 601-477-2223
Tony Earl Miller, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 604-649-7921 Fax: 601-649-7939
Jeri S England, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 S Court St, Ellisville, MS 39437 Phone: 601-477-4104 Fax: 601-399-6254
Mr. Donald Scoggin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Ave B, Ellisville, MS 39437 Phone: 601-477-8553 Fax: 601-477-9158
Mrs. Lisa Graham Blesse, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Highway 11 S, Ellisville, MS 39437 Phone: 601-477-5795 Fax: 601-477-5895

Dr Tina Denise Mcdyess, PHD - Medicare Nurse Practitioner in Ellisville, MS