Ms Mary J Tichacek, RN, PMHNP, PMHCNS - Registered Nurse in Imperial, CA

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Ms Mary J Tichacek, RN, PMHNP, PMHCNS is a Registered Nurse based in Imperial, California. Ms Mary J Tichacek is licensed to practice in California (license number 202048) and her current practice location is 2417 Marshall Ave Ste 1, Imperial, California. She can be reached at her office (for appointments etc.) via phone at (858) 245-1195.

NPI number for Ms Mary J Tichacek is 1841836244 and her current mailing address is 7770 Regents Road, No 113514, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841836244.

Contact Information

Ms Mary J Tichacek, RN, PMHNP, PMHCNS
2417 Marshall Ave Ste 1,
Imperial, CA 92251-9401
(858) 245-1195
Not Available

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Provider's Profile

Full NameMs Mary J Tichacek
GenderFemale
SpecialityRegistered Nurse
Location2417 Marshall Ave Ste 1, Imperial, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841836244
  • Provider Enumeration Date: 11/20/2019
  • Last Update Date: 09/29/2023

Medical Identifiers

Medical identifiers for Ms Mary J Tichacek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841836244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95024198 (California)Secondary
364S00000XClinical Nurse Specialist 207 (California)Secondary
163W00000XRegistered Nurse 202048 (California)Primary

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. Ms Mary J Tichacek is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mary J Tichacek, RN, PMHNP, PMHCNS
7770 Regents Road, No 113514,
San Diego, CA 92122

Ph: (858) 245-1195		Ms Mary J Tichacek, RN, PMHNP, PMHCNS
2417 Marshall Ave Ste 1,
Imperial, CA 92251-9401

Ph: (858) 245-1195

Reviews and Comments


Registered Nurse Nurses in Imperial, CA


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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).

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