Kristti Lei Birondo Tan, AGNP-BC in Nashville, TN

Kristti Lei Birondo Tan, AGNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Nashville, Tennessee. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Douglas Dermatology And Skin Cancer Specialists Llc and her current practice location is 2004 Hayes St Ste 655, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 866-9040.

Kristti Lei Birondo Tan is licensed to practice in Tennessee (license number 32408) 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 1679175236.

Contact Information

	Kristti Lei Birondo Tan, AGNP-BC
	2004 Hayes St Ste 655, Nashville, TN 37203-2656
	(615) 866-9040
	(615) 750-5756

Map and Direction

Provider's Profile

Full Name	Kristti Lei Birondo Tan
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2004 Hayes St Ste 655, Nashville, Tennessee
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:

Kristti Lei Birondo Tan graduated from nursing school in 2020

NPI Data:

NPI Number: 1679175236
Provider Enumeration Date: 11/09/2020
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 4486992971
Enrollment ID: I20250305000400

Medical Identifiers

Medical identifiers for Kristti Lei Birondo Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679175236	NPI	-	NPPES
Q079530	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	309683 (New York)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	1014530 (Texas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	32408 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Douglas Dermatology And Skin Cancer Specialists Llc	1658680764	10

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. Kristti Lei Birondo Tan allows following entities to bill medicare on her behalf.

Entity Name	Douglas Dermatology And Skin Cancer Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275929267 PECOS PAC ID: 1658680764 Enrollment ID: O20151012000999

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. Kristti Lei Birondo Tan 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
Kristti Lei Birondo Tan, AGNP-BC 3320 Perimeter Hill Dr, Nashville, TN 37211-4123 Ph: (615) 866-9040	Kristti Lei Birondo Tan, AGNP-BC 2004 Hayes St Ste 655, Nashville, TN 37203-2656 Ph: (615) 866-9040

Reviews and Comments

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Kristti Lei Birondo Tan, AGNP-BC - Medicare Nurse Practitioner in Nashville, TN