Dr Angela Jessica Tatis, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Islip Terrace, New York. Her current practice location is
907 Belmore Ave, Islip Terrace, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 944-8399.
Dr Angela Jessica Tatis is licensed to practice in New York (license number 403756) 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 1558982009.
Provider's Profile
Full Name | Dr Angela Jessica Tatis |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 907 Belmore Ave, Islip Terrace, New York |
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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:
- Dr Angela Jessica Tatis attended and graduated from in
NPI Data:
- NPI Number: 1558982009
- Provider Enumeration Date: 05/06/2020
- Last Update Date: 05/15/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Angela Jessica Tatis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558982009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 97335 (Hawaii) | Secondary |
163W00000X | Registered Nurse | 322490 (North Carolina) | Secondary |
163W00000X | Registered Nurse | R224983 (Maryland) | Secondary |
163W00000X | Registered Nurse | 708205-1 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403756 (New York) | 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. Dr Angela Jessica Tatis 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 |
Dr Angela Jessica Tatis, DNP, PMHNP-BC 907 Belmore Ave, Islip Terrace, NY 11752-1005 Ph: (631) 944-8399 | Dr Angela Jessica Tatis, DNP, PMHNP-BC 907 Belmore Ave, Islip Terrace, NY 11752-1005 Ph: (631) 944-8399 |
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