Erica Mae Tidiane, in Folsom, CA - Medicare Nurse Practitioner

Erica Mae Tidiane, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Folsom, California. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 950 Glenn Dr Ste 235, Folsom, California. You can reach out to her office (for appointments etc.) via phone at (916) 209-0533.

Erica Mae Tidiane is licensed to practice in California (license number 95019105) 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 1205407095.

Contact Information

	Erica Mae Tidiane,
	950 Glenn Dr Ste 235, Folsom, CA 95630-3193
	(916) 209-0533
	(916) 209-4056

Map and Direction

Provider's Profile

Full Name	Erica Mae Tidiane
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	950 Glenn Dr Ste 235, Folsom, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Erica Mae Tidiane graduated from nursing school in 2021

NPI Data:

NPI Number: 1205407095
Provider Enumeration Date: 07/02/2021
Last Update Date: 10/24/2025

Medicare PECOS Information:

PECOS PAC ID: 2860881398
Enrollment ID: I20211122002620

Medical Identifiers

Medical identifiers for Erica Mae Tidiane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205407095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95019105 (California)	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. Erica Mae Tidiane allows following entities to bill medicare on her behalf.

Entity Name	Wellspace Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124112933 PECOS PAC ID: 8426157975 Enrollment ID: O20070623000117

Entity Name	Mindful Health Solutions A Professional Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881894483 PECOS PAC ID: 3173613973 Enrollment ID: O20071217000736

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. Erica Mae Tidiane 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
Erica Mae Tidiane, 950 Glenn Dr Ste 235, Folsom, CA 95630-3193 Ph: (916) 209-0533	Erica Mae Tidiane, 950 Glenn Dr Ste 235, Folsom, CA 95630-3193 Ph: (916) 209-0533

Reviews and Comments

Nurse Practitioner Nurses in Folsom, CA

Alaina Rae Niebuhr, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1580 Creekside Dr Ste 250, Folsom, CA 95630 Phone: 916-983-8695
Sally Kei Mason, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Plaza Dr Ste 170, Folsom, CA 95630 Phone: 916-351-9400
Annika Elizabeth Dethlefs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868
Mrs. Josephine P Williams, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Lowney Ct, Folsom, CA 95630 Phone: 916-984-3792
Li Kelly, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 306 Flower Dr, Folsom, CA 95630 Phone: 916-205-5055 Fax: 916-205-5055
Leesa Avery Bingham, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868
Laura A Galindo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Creekside Dr Ste 3300, Folsom, CA 95630 Phone: 866-302-0605 Fax: 916-618-0745

Erica Mae Tidiane, - Medicare Nurse Practitioner in Folsom, CA