Shelome Tyson, FNP in Richmond Hill, NY - Medicare Nurse Practitioner

Shelome Tyson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Richmond Hill, New York. Her current practice location is 8900 Van Wyck Expy, Richmond Hill, New York. You can reach out to her office (for appointments etc.) via phone at (718) 206-6000.

Shelome Tyson is licensed to practice in New York (license number F347436-01) 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 1912241886.

Contact Information

	Shelome Tyson, FNP
	8900 Van Wyck Expy, Richmond Hill, NY 11418-2897
	(718) 206-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelome Tyson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8900 Van Wyck Expy, Richmond Hill, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912241886
Provider Enumeration Date: 11/16/2012
Last Update Date: 10/08/2021

Medicare PECOS Information:

PECOS PAC ID: 7911396569
Enrollment ID: I20211119001291

Medical Identifiers

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

Identifier	Type	State	Issuer
1912241886	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	654160 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F347436-01 (New York)	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. Shelome Tyson allows following entities to bill medicare on her behalf.

Entity Name	Jamaica Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477505220 PECOS PAC ID: 2264324334 Enrollment ID: O20040427001519

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. Shelome 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
Shelome Tyson, FNP 13101 227th St, Laurelton, NY 11413-1738 Ph: (914) 513-9657	Shelome Tyson, FNP 8900 Van Wyck Expy, Richmond Hill, NY 11418-2897 Ph: (718) 206-6000

Reviews and Comments

Nurse Practitioner Nurses in Richmond Hill, NY

Mr. Jerrin Chacko, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000
Suzanne Jolly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000
Angela Nalini Persaud, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8540 111th St, Richmond Hill, NY 11418 Phone: 718-687-7525
Shikeena Murrille, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000
Ms. Cheryl A Mackey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9007 104th St, Richmond Hill, NY 11418 Phone: 917-494-9340
Mira Inoyatov, RN, FNP, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000
Michael Salzillo, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000

Shelome Tyson, FNP - Medicare Nurse Practitioner in Richmond Hill, NY