Dr Jacob Clifford Tyson, DPT in Durham, NC - Medicare Physical Therapy Provider

Dr Jacob Clifford Tyson, DPT is a medicare enrolled "Physical Therapist" provider in Durham, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Wellness Station Llc and his current practice location is 2216 Elmwood Ave, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 452-5078.

Dr Jacob Clifford Tyson is licensed to practice in North Carolina (license number P19758) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1922600543.

Contact Information

	Dr Jacob Clifford Tyson, DPT
	2216 Elmwood Ave, Durham, NC 27707-1010
	(919) 452-5078
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob Clifford Tyson
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	2216 Elmwood Ave, Durham, North Carolina
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacob Clifford Tyson attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2020

NPI Data:

NPI Number: 1922600543
Provider Enumeration Date: 11/09/2020
Last Update Date: 11/09/2020

Medicare PECOS Information:

PECOS PAC ID: 3577978816
Enrollment ID: I20210218000366

Medical Identifiers

Medical identifiers for Dr Jacob Clifford Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922600543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P19758 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellness Station Llc	3870873995	2

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. Dr Jacob Clifford Tyson allows following entities to bill medicare on his behalf.

Provider Name	Wellness Station Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1942750435 PECOS PAC ID: 3870873995 Enrollment ID: O20161207001585

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. Dr Jacob Clifford 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
Dr Jacob Clifford Tyson, DPT 423 Melanie Ct, Chapel Hill, NC 27514-1834 Ph: (919) 951-8457	Dr Jacob Clifford Tyson, DPT 2216 Elmwood Ave, Durham, NC 27707-1010 Ph: (919) 452-5078

Reviews and Comments

Physical Therapist in Durham, NC

Charlotte Hunter Pearce, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 Pickett Road, The Forest At Duke Retirement Community, Durham, NC 27705 Phone: 919-452-6100
Ms. Robin Nicole Conradi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 William Penn Plz, Durham, NC 27704 Phone: 919-220-5255 Fax: 919-313-1276
Amy Katherine Tally, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111
Michelle Baumgart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5705 Fayetteville Rd, Durham, NC 27713 Phone: 919-666-2624
Kelly Mcnaughton Raney, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 209 E Carver St, Durham, NC 27704 Phone: 919-471-2273
Mrs. Claudia Jakiel Leasure, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2609 N Duke St Ste 203, Durham, NC 27704 Phone: 919-220-6532
Steven Fairbanks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411

Dr Jacob Clifford Tyson, DPT - Medicare Physical Therapist in Durham, NC