Tyshianna B Edwards, OTD - Medicare Occupational Therapist in Horn Lake, MS

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Tyshianna B Edwards, OTD is a medicare enrolled "Occupational Therapist" provider in Horn Lake, Mississippi. Her current practice location is 1751 Dancy Blvd Ste 2, Horn Lake, Mississippi. You can reach out to her office (for appointments etc.) via phone at (901) 292-5313.

Tyshianna B Edwards is licensed to practice in Mississippi (license number OT-3947) 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 1841926086.

Contact Information

Tyshianna B Edwards, OTD
1751 Dancy Blvd Ste 2,
Horn Lake, MS 38637-1916
(901) 292-5313
(901) 867-1603

Map and Direction




Healthcare Provider's Profile

Full NameTyshianna B Edwards
GenderFemale
SpecialityOccupational Therapist
Location1751 Dancy Blvd Ste 2, Horn Lake, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841926086
  • Provider Enumeration Date: 07/29/2022
  • Last Update Date: 07/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688023922
  • Enrollment ID: I20231212000632

Medical Identifiers

Medical identifiers for Tyshianna B Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841926086NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT-3947 (Mississippi)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. Tyshianna B Edwards allows following entities to bill medicare on her behalf.
Provider NameAegis Group Practice Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881271302
PECOS PAC ID: 5193036432
Enrollment ID: O20160126001261

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. Tyshianna B Edwards 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
Tyshianna B Edwards, OTD
11315 Mccormick Rd,
Arlington, TN 38002-9512

Ph: (901) 461-7633		Tyshianna B Edwards, OTD
1751 Dancy Blvd Ste 2,
Horn Lake, MS 38637-1916

Ph: (901) 292-5313

Reviews and Comments


Occupational Therapist in Horn Lake, MS

Dr. Jackie D Nickson, OTD, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6664 Sinclair Dr, Horn Lake, MS 38637
Phone: 901-230-4982    Fax: 662-393-2673
Mr. Raul Suarez Jr., OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6410 Collinwood Rd, Horn Lake, MS 38637
Phone: 432-703-0089    

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.