Mrs Tamara Lynn Wyscaver Dirven, ACNP-BC in Detroit, MI

Mrs Tamara Lynn Wyscaver Dirven, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Detroit, Michigan. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vhs Physicians Of Michigan and her current practice location is 3990 John R St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 993-6023.

Mrs Tamara Lynn Wyscaver Dirven is licensed to practice in Michigan (license number 4704193954) 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 1780944538.

Contact Information

	Mrs Tamara Lynn Wyscaver Dirven, ACNP-BC
	3990 John R St, Detroit, MI 48201-2018
	(313) 993-6023
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tamara Lynn Wyscaver Dirven
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	3990 John R St, Detroit, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tamara Lynn Wyscaver Dirven graduated from nursing school in 2010

NPI Data:

NPI Number: 1780944538
Provider Enumeration Date: 05/25/2012
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 7113227372
Enrollment ID: I20151120000406

Medical Identifiers

Medical identifiers for Mrs Tamara Lynn Wyscaver Dirven such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780944538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704193954 (Michigan)	Primary
363LA2100X	Nurse Practitioner - Acute Care	RN287474 (Georgia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Harper University Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vhs Physicians Of Michigan	8921289760	212

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. Mrs Tamara Lynn Wyscaver Dirven allows following entities to bill medicare on her behalf.

Entity Name	Vhs Physicians Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849

Entity Name	Acute Care Surgery Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20180514000575

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. Mrs Tamara Lynn Wyscaver Dirven 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
Mrs Tamara Lynn Wyscaver Dirven, ACNP-BC Po Box 1524, Augusta, GA 30903-1524 Ph: (706) 774-8326	Mrs Tamara Lynn Wyscaver Dirven, ACNP-BC 3990 John R St, Detroit, MI 48201-2018 Ph: (313) 993-6023

Reviews and Comments

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Mrs Tamara Lynn Wyscaver Dirven, ACNP-BC - Medicare Nurse Practitioner in Detroit, MI