Tia Evenson, APRN in Alameda, CA - Medicare Nurse Practitioner

Tia Evenson, APRN is a medicare enrolled "Nurse Practitioner" in Alameda, California. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Millennium Physician Group Llc, Carbon Health Primary Care Of California Pc and her current practice location is 2690 5th St, Alameda, California. You can reach out to her office (for appointments etc.) via phone at (510) 439-9447.

Tia Evenson is licensed to practice in California (license number 95026529) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972100766.

Contact Information

	Tia Evenson, APRN
	2690 5th St, Alameda, CA 94501-6584
	(510) 439-9447
	(510) 327-1027

Map and Direction

Provider's Profile

Full Name	Tia Evenson
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	2690 5th St, Alameda, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tia Evenson graduated from nursing school in 2020

NPI Data:

NPI Number: 1972100766
Provider Enumeration Date: 10/05/2020
Last Update Date: 01/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6002235280
Enrollment ID: I20201008000472

Medical Identifiers

Medical identifiers for Tia Evenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972100766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11008363 (Florida)	Secondary
363L00000X	Nurse Practitioner	95026529 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Millennium Physician Group Llc	9830244433	781
Carbon Health Primary Care Of California Pc	8628350626	38

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. Tia Evenson allows following entities to bill medicare on her behalf.

Entity Name	Millennium Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338

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. Tia Evenson 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
Tia Evenson, APRN 2690 5th St, Alameda, CA 94501-6584 Ph: (510) 439-9447	Tia Evenson, APRN 2690 5th St, Alameda, CA 94501-6584 Ph: (510) 439-9447

Reviews and Comments

Nurse Practitioner Nurses in Alameda, CA

Mrs. Mary Ann Sarreal Gelera, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 516 Willow St, Alameda, CA 94501 Phone: 510-714-8097 Fax: 510-667-3933
Annie Rose Palmer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Atlantic Ave, Alameda, CA 94501 Phone: 415-474-7310
Miss Catherine Ann Guthrie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2433 Central Ave Ste 100, Alameda, CA 94501 Phone: 510-521-2300 Fax: 510-521-7947
Susan Nicole Alford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1332 Park St Ste 200, Alameda, CA 94501 Phone: 510-523-3123
Ms. Rikki Jacqueline Rodriguez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2070 Clinton Ave, Suite #400, Alameda, CA 94501 Phone: 510-864-1800
Ms. Kara Olsen Theiding, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Avington Rd, Alameda, CA 94502 Phone: 510-846-0200
Allison Dong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2690 5th St Ste B, Alameda, CA 94501 Phone: 510-439-9447

Tia Evenson, APRN - Medicare Nurse Practitioner in Alameda, CA