Mrs Tawanda Lucille Elam-brown, in Eastvale, CA

Mrs Tawanda Lucille Elam-brown, is a medicare enrolled "Nurse Practitioner - Family" in Eastvale, California. Her current practice location is 12742 Limonite Ave, Eastvale, California. You can reach out to her office (for appointments etc.) via phone at (951) 739-2712.

Mrs Tawanda Lucille Elam-brown is licensed to practice in California (license number 95031812) 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 1689407926.

Contact Information

	Mrs Tawanda Lucille Elam-brown,
	12742 Limonite Ave, Eastvale, CA 92880-9630
	(951) 739-2712
	(951) 371-6586

Map and Direction

Provider's Profile

Full Name	Mrs Tawanda Lucille Elam-brown
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12742 Limonite Ave, Eastvale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689407926
Provider Enumeration Date: 08/22/2024
Last Update Date: 08/01/2025

Medicare PECOS Information:

PECOS PAC ID: 5799219697
Enrollment ID: I20241114003377

Medical Identifiers

Medical identifiers for Mrs Tawanda Lucille Elam-brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689407926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95031812 (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. Mrs Tawanda Lucille Elam-brown allows following entities to bill medicare on her behalf.

Entity Name	Cucamonga Valley Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497783229 PECOS PAC ID: 6709899883 Enrollment ID: O20060712000099

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 Tawanda Lucille Elam-brown 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 Tawanda Lucille Elam-brown, 12742 Limonite Ave, Eastvale, CA 92880-9630 Ph: (951) 683-6370	Mrs Tawanda Lucille Elam-brown, 12742 Limonite Ave, Eastvale, CA 92880-9630 Ph: (951) 739-2712

Reviews and Comments

Nurse Practitioner Nurses in Eastvale, CA

Mr. Ronald Allan Ramos Torres, RN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5805 Larry Dean St, Eastvale, CA 92880 Phone: 909-342-8976
Anglae B Ojeda, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12742 Limonite Ave, Eastvale, CA 92880 Phone: 951-739-2740
Mr. Erik James Purcell, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7021 Barwick Ct, Eastvale, CA 92880 Phone: 909-260-8756
Mr. Isagani Ignacio Marquez Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6615 Canter Cove Ct, Eastvale, CA 92880 Phone: 909-255-5348
Mr. Jay Santillana Lardizabal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6595 Cantata Dr, Eastvale, CA 92880 Phone: 951-987-1133
Heather Jean Clifford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14277 Grayling Dr, Eastvale, CA 92880 Phone: 714-376-3335
Mrs. Olivia Anne Yance, RN,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14220 Schleisman Rd, Eastvale, CA 92880 Phone: 951-340-0875

Mrs Tawanda Lucille Elam-brown, - Medicare Nurse Practitioner in Eastvale, CA