Ms Eliza Mae Tangonan, APN-C, PMHNP-BC in Clark, NJ

Ms Eliza Mae Tangonan, APN-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner" in Clark, New Jersey. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellness Management Llc and her current practice location is 100 Walnut Ave Ste 210, Clark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 620-2774.

Ms Eliza Mae Tangonan is licensed to practice in New Jersey (license number 26NJ00498900) 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 1477964971.

Contact Information

	Ms Eliza Mae Tangonan, APN-C, PMHNP-BC
	100 Walnut Ave Ste 210, Clark, NJ 07066-1269
	(973) 620-2774
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Eliza Mae Tangonan
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	100 Walnut Ave Ste 210, Clark, New Jersey
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:

Ms Eliza Mae Tangonan graduated from nursing school in 2014

NPI Data:

NPI Number: 1477964971
Provider Enumeration Date: 05/19/2014
Last Update Date: 06/01/2026

Medicare PECOS Information:

PECOS PAC ID: 2163725151
Enrollment ID: I20160408001265

Medical Identifiers

Medical identifiers for Ms Eliza Mae Tangonan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477964971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	26NJ00498900 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellness Management Llc	9335376045	2

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. Ms Eliza Mae Tangonan allows following entities to bill medicare on her behalf.

Entity Name	Nephrological Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740407923 PECOS PAC ID: 9335136928 Enrollment ID: O20040427000399

Entity Name	Wellness Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558709451 PECOS PAC ID: 9335376045 Enrollment ID: O20131227001608

Entity Name	Northeast Kidney Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023889565 PECOS PAC ID: 8921445032 Enrollment ID: O20240326000203

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. Ms Eliza Mae Tangonan 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
Ms Eliza Mae Tangonan, APN-C, PMHNP-BC 100 Walnut Ave Ste 210, Clark, NJ 07066-1269 Ph: (973) 620-2774	Ms Eliza Mae Tangonan, APN-C, PMHNP-BC 100 Walnut Ave Ste 210, Clark, NJ 07066-1269 Ph: (973) 620-2774

Reviews and Comments

Nurse Practitioner Nurses in Clark, NJ

Waleade Omowumi Yusuf, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1213 Westfield Ave, Clark, NJ 07066 Phone: 862-930-0305
Cecelia Nugent, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67 Westfield Ave, Clark, NJ 07066 Phone: 732-499-9160 Fax: 732-499-9161
Tracey Coleman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Central Ave, Clark, NJ 07066 Phone: 732-382-9700
Mrs. Stephanie Jones, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 241 Westfield Ave, Clark, NJ 07066 Phone: 866-389-2727
Mrs. Svetlana Jayson, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Central Ave, Clark, NJ 07066 Phone: 732-382-9700 Fax: 732-382-9707
Ms. Leslie Ann Echols, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1213 Westfield Ave, Clark, NJ 07066 Phone: 732-396-7100
Romee Gandhi, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1075 Central Ave, Clark, NJ 07066 Phone: 732-574-1399

Ms Eliza Mae Tangonan, APN-C, PMHNP-BC - Medicare Nurse Practitioner in Clark, NJ