Brandi Marie Tisdale, FNP-C in Ephrata, PA - Medicare Nurse Practitioner

Brandi Marie Tisdale, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ephrata, Pennsylvania. Her current practice location is 105 Weidmansville Rd, Ephrata, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 738-0660.

Brandi Marie Tisdale is licensed to practice in Pennsylvania (license number SP028823) 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 1962270215.

Contact Information

	Brandi Marie Tisdale, FNP-C
	105 Weidmansville Rd, Ephrata, PA 17522-9754
	(717) 738-0660
	Not Available

Map and Direction

Provider's Profile

Full Name	Brandi Marie Tisdale
Gender	Female
Speciality	Nurse Practitioner - Family
Location	105 Weidmansville Rd, Ephrata, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962270215
Provider Enumeration Date: 12/15/2023
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3072951649
Enrollment ID: I20240402000153

Medical Identifiers

Medical identifiers for Brandi Marie Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962270215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP028823 (Pennsylvania)	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. Brandi Marie Tisdale allows following entities to bill medicare on her behalf.

Entity Name	Lancaster General Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952392383 PECOS PAC ID: 0941103683 Enrollment ID: O20040309000916

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. Brandi Marie Tisdale 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
Brandi Marie Tisdale, FNP-C 1030 Birdell Rd, Honey Brook, PA 19344-1288 Ph: (717) 856-1067	Brandi Marie Tisdale, FNP-C 105 Weidmansville Rd, Ephrata, PA 17522-9754 Ph: (717) 738-0660

Reviews and Comments

Nurse Practitioner Nurses in Ephrata, PA

Alyson Hope Neiheiser, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 446 N Reading Rd Fl 2, Ephrata, PA 17522 Phone: 717-738-6753 Fax: 717-387-5653
Pavlik Teleguz, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-721-4740 Fax: 717-738-6872
Kristine Anne Ruble, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 446 N Reading Rd Ste 301, Ephrata, PA 17522 Phone: 717-733-6546 Fax: 717-733-6011
Alison Pasierb, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 446 N Reading Rd Ste 302, Ephrata, PA 17522 Phone: 717-721-5868 Fax: 717-721-5881
Ms. Deborah F Glasheen, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4131c Oregon Pike, Ephrata, PA 17522 Phone: 717-859-9902 Fax: 717-859-8774
Nicole Lundy, MSN, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1656 W Main St Ste 5, Ephrata, PA 17522 Phone: 717-844-0046 Fax: 717-844-3772
Sotheara Keat, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 446 N Reading Rd, Ephrata, PA 17522 Phone: 717-733-6546 Fax: 717-733-6011

Brandi Marie Tisdale, FNP-C - Medicare Nurse Practitioner in Ephrata, PA