Ms Tatiana Portela, NP in Great Neck, NY - Medicare Nurse Practitioner

Ms Tatiana Portela, NP is a medicare enrolled "Nurse Practitioner" in Great Neck, New York. 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 University Of Texas Southwestern Medical Center At Dallas and her current practice location is 560 Northern Blvd Ste 203, Great Neck, New York. You can reach out to her office (for appointments etc.) via phone at (718) 564-0684.

Ms Tatiana Portela is licensed to practice in Texas (license number 1084853) 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 1538569405.

Contact Information

	Ms Tatiana Portela, NP
	560 Northern Blvd Ste 203, Great Neck, NY 11021-5113
	(718) 564-0684
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Tatiana Portela
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	560 Northern Blvd Ste 203, Great Neck, New York
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 Tatiana Portela graduated from nursing school in 2014

NPI Data:

NPI Number: 1538569405
Provider Enumeration Date: 08/28/2014
Last Update Date: 06/12/2025

Medicare PECOS Information:

PECOS PAC ID: 2264716273
Enrollment ID: I20221205001545

Medical Identifiers

Medical identifiers for Ms Tatiana Portela such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538569405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	307045 (New York)	Secondary
363L00000X	Nurse Practitioner	1084853 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ut Southwestern University Hospital - William P. Clements Jr.	Dallas, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Texas Southwestern Medical Center At Dallas	0648188250	2784

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 Tatiana Portela allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

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 Tatiana Portela 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 Tatiana Portela, NP 560 Northern Blvd Ste 203, Great Neck, NY 11021-5113 Ph: (516) 482-0600	Ms Tatiana Portela, NP 560 Northern Blvd Ste 203, Great Neck, NY 11021-5113 Ph: (718) 564-0684

Reviews and Comments

Nurse Practitioner Nurses in Great Neck, NY

Cindy Queliza, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 Northern Blvd, Great Neck, NY 11021 Phone: 516-614-1160
Sarah Haseney, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Northern Blvd, Great Neck, NY 11021 Phone: 516-622-5155
Blayne Manning, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Community Dr, #110, Great Neck, NY 11021 Phone: 516-918-4388
Yuna Zyskind, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 51 Great Neck Rd, Great Neck, NY 11021 Phone: 516-829-4100
Grace Couch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 865 Northern Blvd, Great Neck, NY 11021 Phone: 516-622-5114
Angelo Lees, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 900 Northern Blvd Ste 100, Great Neck, NY 11021 Phone: 516-730-2151
Elissa Michelle Martin, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 310 E Shore Rd Ste 104, Great Neck, NY 11023 Phone: 516-829-9550

Ms Tatiana Portela, NP - Medicare Nurse Practitioner in Great Neck, NY