Tanviben M Rangunwala, in Fort Wayne, IN - Medicare Nurse Practitioner

Tanviben M Rangunwala, is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. Her current practice location is 2121 Lake Ave, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 426-5431.

Tanviben M Rangunwala is licensed to practice in Connecticut (license number 006354) 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 1184089872.

Contact Information

	Tanviben M Rangunwala,
	2121 Lake Ave, Fort Wayne, IN 46805-5100
	(260) 426-5431
	Not Available

Map and Direction

Provider's Profile

Full Name	Tanviben M Rangunwala
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2121 Lake Ave, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184089872
Provider Enumeration Date: 12/22/2015
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 1052615317
Enrollment ID: I20160205001729

Medical Identifiers

Medical identifiers for Tanviben M Rangunwala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184089872	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	006354 (Connecticut)	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. Tanviben M Rangunwala allows following entities to bill medicare on her behalf.

Entity Name	Internal Medicine Of West Haven Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003005703 PECOS PAC ID: 3476567892 Enrollment ID: O20060206000397

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. Tanviben M Rangunwala 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
Tanviben M Rangunwala, 2121 Lake Ave, Fort Wayne, IN 46805-5100 Ph: (260) 426-5431	Tanviben M Rangunwala, 2121 Lake Ave, Fort Wayne, IN 46805-5100 Ph: (260) 426-5431

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Tanviben M Rangunwala, - Medicare Nurse Practitioner in Fort Wayne, IN