Mitzi Braddock Tyre, FNP - Medicare Nurse Practitioner in Waycross, GA

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Mitzi Braddock Tyre, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waycross, Georgia. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Unison Behavioral Health and her current practice location is 1007 Mary St, Waycross, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 387-7737.

Mitzi Braddock Tyre is licensed to practice in Georgia (license number RN170702) 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 1396983227.

Contact Information

Mitzi Braddock Tyre, FNP
1007 Mary St,
Waycross, GA 31503-3823
(912) 387-7737
(912) 449-7080

Map and Direction




Provider's Profile

Full NameMitzi Braddock Tyre
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location1007 Mary St, Waycross, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mitzi Braddock Tyre graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1396983227
  • Provider Enumeration Date: 01/30/2009
  • Last Update Date: 08/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6800065582
  • Enrollment ID: I20110815000504

Medical Identifiers

Medical identifiers for Mitzi Braddock Tyre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396983227NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN170702 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN170702 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN170702 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Unison Behavioral Health751785224711

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. Mitzi Braddock Tyre allows following entities to bill medicare on her behalf.
Entity NameUnison Behavioral Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528104866
PECOS PAC ID: 7517852247
Enrollment ID: O20040220000112
Entity NameMayo Clinic Health System In Waycross, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154745982
PECOS PAC ID: 0042124919
Enrollment ID: O20040308000639
Entity NameK Somanath Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649998022
PECOS PAC ID: 8022488469
Enrollment ID: O20230118001676

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. Mitzi Braddock Tyre 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 AddressPractice Location Address
Mitzi Braddock Tyre, FNP
2900 Mossy Oak Trl,
Waycross, GA 31503-4621

Ph: (912) 387-7737		Mitzi Braddock Tyre, FNP
1007 Mary St,
Waycross, GA 31503-3823

Ph: (912) 387-7737

Reviews and Comments


Nurse Practitioner Nurses in Waycross, GA

Barbara D Pittman, FNP-C
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Robert Scott Jacobs, NP
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Mr. James Aaron Houser, FNP-C
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Phone: 912-283-9423    Fax: 912-283-2946
Mrs. Jennifer Miller Rafus, M.S., FNP, LIC. AC.
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Medicare: Accepting Medicare Assignments
Practice Location: 615a Pendleton St, Waycross, GA 31501
Phone: 912-548-0710    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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