Nathan Tyson, in Windsor, CT - Medicare Nurse Practitioner

Nathan Tyson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Windsor, Connecticut. His current practice location is 756 Kennedy Rd, Windsor, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 803-6920.

Nathan Tyson is licensed to practice in Connecticut (license number 12486) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497536882.

Contact Information

	Nathan Tyson,
	756 Kennedy Rd, Windsor, CT 06095-1927
	(860) 803-6920
	Not Available

Map and Direction

Provider's Profile

Full Name	Nathan Tyson
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	756 Kennedy Rd, Windsor, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497536882
Provider Enumeration Date: 10/11/2023
Last Update Date: 04/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4284071267
Enrollment ID: I20240326003001

Medical Identifiers

Medical identifiers for Nathan Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497536882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN297062 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	12486 (Connecticut)	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. Nathan Tyson allows following entities to bill medicare on his behalf.

Entity Name	Advanced Telepsych Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508456377 PECOS PAC ID: 6800275603 Enrollment ID: O20230106001717

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. Nathan Tyson 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
Nathan Tyson, 22 Airline St Ne Unit 405, Atlanta, GA 30312-2015 Ph: (860) 803-6920	Nathan Tyson, 756 Kennedy Rd, Windsor, CT 06095-1927 Ph: (860) 803-6920

Reviews and Comments

Nurse Practitioner Nurses in Windsor, CT

Kaitlin Schmidt, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 360 Bloomfield Ave Ste 301, Windsor, CT 06095 Phone: 860-281-7687 Fax: 860-910-1411
Carol Ann Concannon, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Deerfield Rd, Windsor, CT 06095 Phone: 860-714-9444
Dr. Elizabeth Mb Visone, DNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1060 Day Hill Rd Ste 203, Windsor, CT 06095 Phone: 860-696-2450 Fax: 860-696-2460
Nairoby Vargas-betances, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1080 Day Hill Rd, Windsor, CT 06095 Phone: 860-298-8442
Daniella Ashley Gordon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 74 Mack St Ste 4, Windsor, CT 06095 Phone: 860-298-8830
Mrs. Tracy A Noell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 851 Marshall Phelps Road, Healthone Windsor Family Medicine, Windsor, CT 06095 Phone: 860-683-0756 Fax: 860-683-1555
Mrs. Annetta Ruth Troche, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 22 Parkwood Drive, Windsor, CT 06095 Phone: 860-683-8949

Nathan Tyson, - Medicare Nurse Practitioner in Windsor, CT