Debra G Tennen, MD is a medicare enrolled "Ophthalmology" physician in Agoura Hills, California. She went to New York Medical College and graduated in 1989 and has 35 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Jonathan M. Davidorf, M.d. Inc. and her current practice location is
29525 Canwood St, Ste 210, Agoura Hills, California. You can reach out to her office (for appointments etc.) via phone at
(818) 707-4277.
Debra G Tennen is licensed to practice in California (license number G72013) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1366418865.
Physician's Profile
| Full Name | Debra G Tennen |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 35 Years |
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| Location | 29525 Canwood St, Agoura Hills, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Debra G Tennen attended and graduated from New York Medical College in 1989
NPI Data:
- NPI Number: 1366418865
- Provider Enumeration Date: 02/24/2006
- Last Update Date: 09/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 3072427418
- Enrollment ID: I20031118001126
Medical Identifiers
Medical identifiers for Debra G Tennen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366418865 | NPI | - | NPPES |
| 00G720130 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | G72013 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jonathan M. Davidorf, M.d. Inc. | 7719063825 | 6 |
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. Debra G Tennen allows following entities to bill medicare on her behalf.
| Entity Name | Jonathan M. Davidorf, M.d. Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396913695
PECOS PAC ID: 7719063825
Enrollment ID: O20080328000346 |
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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. Debra G Tennen 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 |
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Debra G Tennen, MD
29525 Canwood St, Ste 210,
Agoura Hills, CA 91301-4233
Ph: (818) 707-4277 | Debra G Tennen, MD
29525 Canwood St, Ste 210,
Agoura Hills, CA 91301-4231
Ph: (818) 707-4277 |
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