Prita Tandyasraya, MD - Medicare Psychiatry & Neurology in Nellis Afb, NV

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Prita Tandyasraya, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Nellis Afb, Nevada. Her current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 653-3244.

Prita Tandyasraya is licensed to practice in Arizona (license number R76053) 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 1144754979.

Contact Information

Prita Tandyasraya, MD
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
(702) 653-3244
(702) 653-2378

Map and Direction




Physician's Profile

Full NamePrita Tandyasraya
GenderFemale
SpecialityPsychiatry & Neurology - Neurology
Location4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144754979
  • Provider Enumeration Date: 04/19/2017
  • Last Update Date: 11/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214291442
  • Enrollment ID: I20231213002880

Medical Identifiers

Medical identifiers for Prita Tandyasraya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144754979NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology ME165558 (Florida)Secondary
2084N0400XPsychiatry & Neurology - Neurology R76053 (Arizona)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. Prita Tandyasraya allows following entities to bill medicare on her behalf.
Entity NameSummit Healthcare Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144209271
PECOS PAC ID: 3779568647
Enrollment ID: O20040623001125

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. Prita Tandyasraya 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 AddressPractice Location Address
Prita Tandyasraya, MD
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600

Ph: (702) 653-3244		Prita Tandyasraya, MD
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600

Ph: (702) 653-3244

Reviews and Comments


Psychiatry & Neurology Doctors in Nellis Afb, NV

Soukaina Noor, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Dr. Ritesh Kool, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-3880    
Michael R Hossack, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-3802    
Dr. Jennifer Denise Lorenz, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-3880    Fax: 702-653-3883
Dr. David Kvamme, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Navdeep Dhaliwal, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Dept Of Neurology. Mike O'callaghan Federal Hospital, Nellis Afb, NV 89191
Phone: 702-653-3244    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.