Kennedy Tambi, PMHNP-BC in Stoneham, MA - Medicare Nurse Practitioner

Kennedy Tambi, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Stoneham, Massachusetts. His current practice location is 64 Main St Apt 35b, Stoneham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 286-3364.

Kennedy Tambi is licensed to practice in Massachusetts (license number RN237828) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932707445.

Contact Information

	Kennedy Tambi, PMHNP-BC
	64 Main St Apt 35b, Stoneham, MA 02180-3384
	(617) 286-3364
	Not Available

Map and Direction

Provider's Profile

Full Name	Kennedy Tambi
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	64 Main St Apt 35b, Stoneham, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932707445
Provider Enumeration Date: 10/16/2020
Last Update Date: 11/14/2024

Medicare PECOS Information:

PECOS PAC ID: 5991175465
Enrollment ID: I20221227000269

Medical Identifiers

Medical identifiers for Kennedy Tambi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932707445	NPI	-	NPPES
020860	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN237828 (Massachusetts)	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. Kennedy Tambi allows following entities to bill medicare on his behalf.

Entity Name	Supportive Behavioral Care Of Ma Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877

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. Kennedy Tambi 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
Kennedy Tambi, PMHNP-BC 64 Main St Apt 35b, Stoneham, MA 02180-3384 Ph: (617) 286-3364	Kennedy Tambi, PMHNP-BC 64 Main St Apt 35b, Stoneham, MA 02180-3384 Ph: (617) 286-3364

Reviews and Comments

Nurse Practitioner Nurses in Stoneham, MA

Lauren Spendley, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Montvale Ave, Stoneham, MA 02180 Phone: 781-224-5806 Fax: 781-224-5807
Mrs. Jean Wyatt Gee, N.P.-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 92 Montvale Ave, 4605, Stoneham, MA 02180 Phone: 781-662-2229
Samila Francois, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Woodland Rd, Suite 322, Stoneham, MA 02180 Phone: 781-662-2243
Linda Ann Corey, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Woodland Rd, Suite 306, Stoneham, MA 02180 Phone: 781-665-3380
Caroline Dudman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Fieldstone Dr, Stoneham, MA 02180 Phone: 617-301-2840
Tess Stevens, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Montvale Ave, Stoneham, MA 02180 Phone: 781-224-5806
Jessica Croteau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Executive Dr Unit 126, Stoneham, MA 02180 Phone: 603-494-7311

Kennedy Tambi, PMHNP-BC - Medicare Nurse Practitioner in Stoneham, MA