Crystal Tyson, OT in Mount Vernon, IL - Medicare Occupational Therapy Provider

Crystal Tyson, OT is a medicare enrolled "Occupational Therapist" provider in Mount Vernon, Illinois. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Herron Rehab And Wellness Center, S.c., Comprehensive Therapeutics Ltd and her current practice location is 4121 Veterans Memorial Dr, Mount Vernon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 242-3778.

Crystal Tyson is licensed to practice in Illinois (license number 056011193) 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 1629447529.

Contact Information

	Crystal Tyson, OT
	4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262
	(618) 242-3778
	(618) 242-2551

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Tyson
Gender	Female
Speciality	Occupational Therapy
Experience	9 Years
Location	4121 Veterans Memorial Dr, Mount Vernon, Illinois
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:

Crystal Tyson graduated from medical school in 2015

NPI Data:

NPI Number: 1629447529
Provider Enumeration Date: 09/21/2015
Last Update Date: 09/21/2015

Medicare PECOS Information:

PECOS PAC ID: 7911215058
Enrollment ID: I20151009000034

Medical Identifiers

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

Identifier	Type	State	Issuer
1629447529	NPI	-	NPPES
056011193	Other	IL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056011193 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Herron Rehab And Wellness Center, S.c.	3274671870	4
Comprehensive Therapeutics Ltd	8921230137	247

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. Crystal Tyson allows following entities to bill medicare on her behalf.

Provider Name	Herron Rehab And Wellness Center, S.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710110861 PECOS PAC ID: 3274671870 Enrollment ID: O20091118000444

Provider Name	Comprehensive Therapeutics Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663

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. Crystal 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
Crystal Tyson, OT 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 Ph: (618) 242-3778	Crystal Tyson, OT 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 Ph: (618) 242-3778

Reviews and Comments

Occupational Therapist in Mount Vernon, IL

Daniel Northcutt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 White St, Mount Vernon, IL 62864 Phone: 618-246-6763
Skills 4 Life Ot, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2020 Broadway St Apt 1, Mount Vernon, IL 62864 Phone: 618-214-0371
Andre A Coleman, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4110 S Water Tower Place, Mount Vernon, IL 62864 Phone: 618-242-1100 Fax: 618-244-5148
Kinny Merchant, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 N 12th St, Mount Vernon, IL 62864 Phone: 618-436-8640
Mrs. Sarah Elizabeth Nelson, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Broadway St, Mount Vernon, IL 62864 Phone: 618-241-8595 Fax: 618-241-8759
Mrs. Angela K Oglesby, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551
Mr. Jered Steven Gambill, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 N 3rd St, Mount Vernon, IL 62864 Phone: 618-244-1302 Fax: 618-244-1302

Crystal Tyson, OT - Medicare Occupational Therapist in Mount Vernon, IL