Mrs Rebekah June Tisdale, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Waddington, New York. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Claxton-hepburn Medical Center, Carthage Area Hospital Inc and her current practice location is
4 Montgomery Heights, Waddington, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 388-7872.
Mrs Rebekah June Tisdale is licensed to practice in New York (license number 354223) 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 1295566388.
Provider's Profile
| Full Name | Mrs Rebekah June Tisdale |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 4 Montgomery Heights, Waddington, 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. |
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Medical Education and Training:
- Mrs Rebekah June Tisdale graduated from nursing school in 2024
NPI Data:
- NPI Number: 1295566388
- Provider Enumeration Date: 08/09/2024
- Last Update Date: 11/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335679265
- Enrollment ID: I20250207001305
Medical Identifiers
Medical identifiers for Mrs Rebekah June Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295566388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 354223 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Claxton-hepburn Medical Center | 8426966508 | 32 |
| Carthage Area Hospital Inc | 9931010485 | 81 |
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. Mrs Rebekah June Tisdale allows following entities to bill medicare on her behalf.
| Entity Name | Carthage Area Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053497388
PECOS PAC ID: 9931010485
Enrollment ID: O20040209000856 |
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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. Mrs Rebekah June 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 |
|---|
Mrs Rebekah June Tisdale, FNP-BC
4 Montgomery Heights,
Waddington, NY 13694
Ph: (315) 388-7872 | Mrs Rebekah June Tisdale, FNP-BC
4 Montgomery Heights,
Waddington, NY 13694
Ph: (315) 388-7872 |
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