Tammi M Short, FNP-C in Longview, TX - Medicare Nurse Practitioner

Tammi M Short, FNP-C is a medicare enrolled "Nurse Practitioner" in Longview, Texas. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wallis Dermatology Associates Pllc and her current practice location is 3535 N Fourth St Ste 400, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 757-3881.

Tammi M Short is licensed to practice in Texas (license number 608154) 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 1538137153.

Contact Information

	Tammi M Short, FNP-C
	3535 N Fourth St Ste 400, Longview, TX 75605-0038
	(903) 757-3881
	(903) 757-5948

Map and Direction

Provider's Profile

Full Name	Tammi M Short
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	3535 N Fourth St Ste 400, Longview, Texas
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:

Tammi M Short attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2002

NPI Data:

NPI Number: 1538137153
Provider Enumeration Date: 03/09/2006
Last Update Date: 03/04/2022

Medicare PECOS Information:

PECOS PAC ID: 1456323773
Enrollment ID: I20040809000211

Medical Identifiers

Medical identifiers for Tammi M Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538137153	NPI	-	NPPES
302333501	Other	TX	MEDICAID GROUP TPI
TXB145668	Other	TX	MEDICARE GROUP PTAN
157033504	Other	TX	MEDICAID INDIVIDUAL TPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	608154 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wallis Dermatology Associates Pllc	0749440188	8

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. Tammi M Short allows following entities to bill medicare on her behalf.

Entity Name	Wallis Dermatology Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396945234 PECOS PAC ID: 0749440188 Enrollment ID: O20120322000343

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. Tammi M Short 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
Tammi M Short, FNP-C 3535 N Fourth St Ste 400, Longview, TX 75605-0038 Ph: (903) 757-3881	Tammi M Short, FNP-C 3535 N Fourth St Ste 400, Longview, TX 75605-0038 Ph: (903) 757-3881

Reviews and Comments

Nurse Practitioner Nurses in Longview, TX

Sarah Faye Earnest, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 N 4th St, Longview, TX 75601 Phone: 903-234-8808 Fax: 903-234-9769
Christina Lea Croley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave Ste 200, Longview, TX 75601 Phone: 903-236-2222
Dorothy Mckenzie Womack, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Mary Mckenzie, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 W Loop 281, Longview, TX 75604 Phone: 903-295-1396
Ms. Erica O Salami, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave Ste 4003, Longview, TX 75601 Phone: 903-315-2032
Jennifer Borrego, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656
Christy Anne Cobb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-291-6223 Fax: 903-291-6222

Tammi M Short, FNP-C - Medicare Nurse Practitioner in Longview, TX