Tyqwisha Gwynn, OTL - Medicare Occupational Therapist in Durham, NC

Tyqwisha Gwynn, OTL is a medicare enrolled "Occupational Therapist" provider in Durham, North Carolina. Her current practice location is 2058 Spring Creek Dr, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 667-5593.

Tyqwisha Gwynn is licensed to practice in North Carolina (license number 16393) 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 1346013794.

Contact Information

Tyqwisha Gwynn, OTL
2058 Spring Creek Dr,
Durham, NC 27704-6110
(919) 667-5593
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTyqwisha Gwynn
GenderFemale
SpecialityOccupational Therapist
Location2058 Spring Creek Dr, Durham, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346013794
  • Provider Enumeration Date: 11/06/2023
  • Last Update Date: 11/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254781453
  • Enrollment ID: I20240102000048

Medical Identifiers

Medical identifiers for Tyqwisha Gwynn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346013794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 16393 (North Carolina)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. Tyqwisha Gwynn allows following entities to bill medicare on her behalf.
Provider NameLegacy Healthcare Services Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1104823400
PECOS PAC ID: 2163339722
Enrollment ID: O20170118000750

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. Tyqwisha Gwynn 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 AddressPractice Location Address
Tyqwisha Gwynn, OTL
110 Horizon Dr Ste 310,
Raleigh, NC 27615-4926

Ph: () -
Tyqwisha Gwynn, OTL
2058 Spring Creek Dr,
Durham, NC 27704-6110

Ph: (919) 667-5593

Reviews and Comments


Occupational Therapist in Durham, NC

Robin Sheila Munsey, OTD, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 3000 Erwin Rd, Durham, NC 27705
Phone: 919-668-3988    
Karen Whitney Wurzinger, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2301 Erwin Rd Rm 6218, Durham, NC 27705
Phone: 919-681-2030    
Robbin A. Newton, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: Dumc 3120, Durham, NC 27710
Phone: 919-684-2869    Fax: 919-681-7574
Nancy N. Belding, LPT
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 120 William Penn Plz, Durham, NC 27704
Phone: 919-220-5255    Fax: 919-220-6971
Mrs. Jenny Musselwhite Terry,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3015 Appling Way, Durham, NC 27703
Phone: 919-596-2120    
Matthew Forrest Cobb, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2301 Erwin Rd, Durham, NC 27705
Phone: 919-681-2030    
Adam Deprimo, MS, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3000 Erwin Rd, Durham, NC 27705
Phone: 919-684-5147    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.