Tyiesha Elliott, in Glen Allen, VA - Medicare Speech-Language Pathologist Provider

Tyiesha Elliott, is a medicare enrolled "Speech-language Pathologist" provider in Glen Allen, Virginia. Her current practice location is 4413 Cox Rd, Glen Allen, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 386-0485.

Tyiesha Elliott is licensed to practice in Virginia (license number 2202008615) 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 1104349380.

Contact Information

	Tyiesha Elliott,
	4413 Cox Rd, Glen Allen, VA 23060-3326
	(804) 386-0485
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyiesha Elliott
Gender	Female
Speciality	Speech-language Pathologist
Location	4413 Cox Rd, Glen Allen, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104349380
Provider Enumeration Date: 07/19/2017
Last Update Date: 07/19/2017

Medicare PECOS Information:

PECOS PAC ID: 6800275678
Enrollment ID: I20220624001317

Medical Identifiers

Medical identifiers for Tyiesha Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104349380	NPI	-	NPPES
272928737	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2202008615 (Virginia)	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. Tyiesha Elliott allows following entities to bill medicare on her behalf.

Provider Name	Jp Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851770598 PECOS PAC ID: 6709192503 Enrollment ID: O20150824001999

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. Tyiesha Elliott 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
Tyiesha Elliott, 11343 Pine Needles Dr, Providence Forge, VA 23140-3487 Ph: () -	Tyiesha Elliott, 4413 Cox Rd, Glen Allen, VA 23060-3326 Ph: (804) 386-0485

Reviews and Comments

Speech-Language Pathologist in Glen Allen, VA

Mrs. Sejal Patel Rice, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11101 Mill Rd, Glen Allen, VA 23060 Phone: 203-209-9851
Suzanne Murdzek, CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4413 Cox Rd, Glen Allen, VA 23060 Phone: 804-406-4322
K & K Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10904 John Cussons Dr, Glen Allen, VA 23060 Phone: 804-937-2364
Ms. Allyson Casey Toney, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 12211 Kain Rd, Glen Allen, VA 23059 Phone: 804-322-3264 Fax: 804-364-3567
Gracia Johnson Holtz, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10299 Woodman Rd, Glen Allen, VA 23060 Phone: 804-971-0244
Crystal Lewandowski, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12101 Liesfeld Farm Dr, Glen Allen, VA 23059 Phone: 507-779-6864
Find Your Voice, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6024 Collinstone Dr, Glen Allen, VA 23059 Phone: 704-953-9653 Fax: 804-364-2404

Tyiesha Elliott, - Medicare Speech-Language Pathologist in Glen Allen, VA