Tatiana Eloisa Huezo, FNP-C in Sausalito, CA - Medicare Nurse Practitioner

Tatiana Eloisa Huezo, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sausalito, California. Her current practice location is 3 Harbor Dr Ste 111, Sausalito, California. You can reach out to her office (for appointments etc.) via phone at (415) 683-2988.

Tatiana Eloisa Huezo is licensed to practice in California (license number 95018460) 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 1750048260.

Contact Information

	Tatiana Eloisa Huezo, FNP-C
	3 Harbor Dr Ste 111, Sausalito, CA 94965
	(415) 683-2988
	(415) 683-2980

Map and Direction

Provider's Profile

Full Name	Tatiana Eloisa Huezo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3 Harbor Dr Ste 111, Sausalito, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750048260
Provider Enumeration Date: 11/18/2021
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 2769826163
Enrollment ID: I20240213004088

Medical Identifiers

Medical identifiers for Tatiana Eloisa Huezo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750048260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95018460 (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. Tatiana Eloisa Huezo allows following entities to bill medicare on her behalf.

Entity Name	Regents Univ Of California Ucsf
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375

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. Tatiana Eloisa Huezo 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
Tatiana Eloisa Huezo, FNP-C 3 Harbor Dr Ste 111, Sausalito, CA 94965 Ph: (415) 683-2988	Tatiana Eloisa Huezo, FNP-C 3 Harbor Dr Ste 111, Sausalito, CA 94965 Ph: (415) 683-2988

Reviews and Comments

Nurse Practitioner Nurses in Sausalito, CA

Jose Ayala-carrillo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Harbor Dr Ste 300, Sausalito, CA 94965 Phone: 925-550-4459
Dr. Gary Keith Hermansen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 Donahue St, Sausalito, CA 94965 Phone: 415-535-3659
Ms. Moira Opalka, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Harbor Dr, Suite 115, Sausalito, CA 94965 Phone: 415-380-0480 Fax: 415-380-8788
Kimberly Allison Cohen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Harbor Dr Ste 300, Sausalito, CA 94965 Phone: 760-284-4493
Shannon Wozniak, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 Drake Ave, Sausalito, CA 94965 Phone: 415-339-8813
Namuun Clifford, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 Drake Ave, Sausalito, CA 94965 Phone: 415-339-8813 Fax: 415-339-8814
Alethea Jeanne Fournier, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 438a Sausalito Blvd, Sausalito, CA 94965 Phone: 206-225-7273

Tatiana Eloisa Huezo, FNP-C - Medicare Nurse Practitioner in Sausalito, CA