Michele C Tomasulo, FNP in Marysville, CA - Medicare Nurse Practitioner

Michele C Tomasulo, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Marysville, California. Her current practice location is 5733 Lochcarron Dr, Marysville, California. You can reach out to her office (for appointments etc.) via phone at (925) 408-4427.

Michele C Tomasulo is licensed to practice in California (license number 11613) 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 1336109248.

Contact Information

	Michele C Tomasulo, FNP
	5733 Lochcarron Dr, Marysville, CA 95901-8367
	(925) 408-4427
	Not Available

Map and Direction

Provider's Profile

Full Name	Michele C Tomasulo
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	5733 Lochcarron Dr, Marysville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336109248
Provider Enumeration Date: 03/24/2006
Last Update Date: 03/12/2018

Medicare PECOS Information:

PECOS PAC ID: 2365678844
Enrollment ID: I20220928000705

Medical Identifiers

Medical identifiers for Michele C Tomasulo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336109248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	374606 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	11613 (California)	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. Michele C Tomasulo allows following entities to bill medicare on her behalf.

Entity Name	Ampla Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952333635 PECOS PAC ID: 5092619270 Enrollment ID: O20040225001116

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. Michele C Tomasulo 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
Michele C Tomasulo, FNP 5733 Lochcarron Dr, Marysville, CA 95901-8367 Ph: (925) 408-4427	Michele C Tomasulo, FNP 5733 Lochcarron Dr, Marysville, CA 95901-8367 Ph: (925) 408-4427

Reviews and Comments

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Michele C Tomasulo, FNP - Medicare Nurse Practitioner in Marysville, CA