Tyra Dean-ousley, EDD, APN, FNP-BC in Orlando, FL

Tyra Dean-ousley, EDD, APN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Orlando, Florida. Her current practice location is 235 E Princeton St Ste 200, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 303-1444.

Tyra Dean-ousley is licensed to practice in Illinois (license number 277002442) 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 1073049722.

Contact Information

	Tyra Dean-ousley, EDD, APN, FNP-BC
	235 E Princeton St Ste 200, Orlando, FL 32804-5555
	(407) 303-1444
	(407) 303-1446

Map and Direction

Provider's Profile

Full Name	Tyra Dean-ousley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	235 E Princeton St Ste 200, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073049722
Provider Enumeration Date: 05/02/2017
Last Update Date: 05/10/2023

Medicare PECOS Information:

PECOS PAC ID: 8123485414
Enrollment ID: I20230610000050

Medical Identifiers

Medical identifiers for Tyra Dean-ousley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073049722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11023314 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	209015881 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	277002442 (Illinois)	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. Tyra Dean-ousley allows following entities to bill medicare on her behalf.

Entity Name	Florida Hospital Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807

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. Tyra Dean-ousley 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
Tyra Dean-ousley, EDD, APN, FNP-BC 11228 S Emerald Ave, Chicago, IL 60628-4707 Ph: (773) 425-9946	Tyra Dean-ousley, EDD, APN, FNP-BC 235 E Princeton St Ste 200, Orlando, FL 32804-5555 Ph: (407) 303-1444

Reviews and Comments

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Mrs. Ellen G Tindal, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 W Gore St, Orlando, FL 32806 Phone: 321-841-3338 Fax: 321-841-2170
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Tyra Dean-ousley, EDD, APN, FNP-BC - Medicare Nurse Practitioner in Orlando, FL