Mrs Tiesha Nicole Deloach, APRN in Kingwood, TX

Mrs Tiesha Nicole Deloach, APRN is a medicare enrolled "Nurse Practitioner - Family" in Kingwood, Texas. Her current practice location is 4435 Kingwood Dr, Kingwood, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 783-8162.

Mrs Tiesha Nicole Deloach is licensed to practice in Texas (license number 1071101) 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 1790360568.

Contact Information

	Mrs Tiesha Nicole Deloach, APRN
	4435 Kingwood Dr, Kingwood, TX 77339-3701
	(281) 783-8162
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tiesha Nicole Deloach
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4435 Kingwood Dr, Kingwood, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790360568
Provider Enumeration Date: 03/13/2021
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 9032594619
Enrollment ID: I20220919000308

Medical Identifiers

Medical identifiers for Mrs Tiesha Nicole Deloach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790360568	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1071101 (Texas)	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 Tiesha Nicole Deloach allows following entities to bill medicare on her behalf.

Entity Name	Doctors Express Of The Beaumont Area Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841525235 PECOS PAC ID: 5698816882 Enrollment ID: O20100114000255

Entity Name	Nluc Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518209113 PECOS PAC ID: 3072752302 Enrollment ID: O20130618000619

Entity Name	Next Level Mv Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013432285 PECOS PAC ID: 5991062085 Enrollment ID: O20171128000837

Entity Name	Larouge Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669074159 PECOS PAC ID: 9234532433 Enrollment ID: O20210823003173

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 Tiesha Nicole Deloach 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 Tiesha Nicole Deloach, APRN 5718 Westheimer Rd Ste 1800, Houston, TX 77057-5773 Ph: () -	Mrs Tiesha Nicole Deloach, APRN 4435 Kingwood Dr, Kingwood, TX 77339-3701 Ph: (281) 783-8162

Reviews and Comments

Nurse Practitioner Nurses in Kingwood, TX

Samantha Marie Herman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22710 Professional Dr Ste 203, Kingwood, TX 77339 Phone: 281-312-8530 Fax: 281-719-5916
Mr. David Allen Powell, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 281-348-8000
Aminata Wane, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Kingwood Medical Dr Ste A450, Kingwood, TX 77339 Phone: 832-701-0283
Lindsay Raye Reuter, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2621 Sandy Lodge Ct, Kingwood, TX 77345 Phone: 985-778-5496
Michael Pacifico Conde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 281-348-8000
Darra Bayer, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 281-348-8530
Ms. Pheba Pappachan, FNP-C, PMHNP-BC, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23051 Kingwood Place Dr Ste 110, Kingwood, TX 77339 Phone: 844-824-8775 Fax: 281-648-2200

Mrs Tiesha Nicole Deloach, APRN - Medicare Nurse Practitioner in Kingwood, TX