Thea De Guzman Intal, FNP-C in Belleville, NJ

Thea De Guzman Intal, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Belleville, New Jersey. Her current practice location is 36 Newark Ave Ste 300, Belleville, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 873-0195.

Thea De Guzman Intal is licensed to practice in New Jersey (license number 26NJ14933100) 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 1093596744.

Contact Information

	Thea De Guzman Intal, FNP-C
	36 Newark Ave Ste 300, Belleville, NJ 07109-4122
	(973) 873-0195
	Not Available

Map and Direction

Provider's Profile

Full Name	Thea De Guzman Intal
Gender	Female
Speciality	Nurse Practitioner - Family
Location	36 Newark Ave Ste 300, Belleville, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093596744
Provider Enumeration Date: 10/09/2023
Last Update Date: 12/26/2023

Medicare PECOS Information:

PECOS PAC ID: 1557719325
Enrollment ID: I20231205001088

Medical Identifiers

Medical identifiers for Thea De Guzman Intal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093596744	NPI	-	NPPES
0960691	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ14933100 (New Jersey)	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. Thea De Guzman Intal allows following entities to bill medicare on her behalf.

Entity Name	Medical Associates Of Englewood Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952681918 PECOS PAC ID: 1355512252 Enrollment ID: O20110927000020

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. Thea De Guzman Intal 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
Thea De Guzman Intal, FNP-C 36 Newark Ave Ste 300, Belleville, NJ 07109-4122 Ph: (973) 873-0195	Thea De Guzman Intal, FNP-C 36 Newark Ave Ste 300, Belleville, NJ 07109-4122 Ph: (973) 873-0195

Reviews and Comments

Nurse Practitioner Nurses in Belleville, NJ

Chelsea Batelli, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109 Phone: 973-450-2000
Susana Pereira, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 Newark Ave, Belleville, NJ 07109 Phone: 973-759-6896
Adewumi Adetayo, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Washington Ave, Belleville, NJ 07109 Phone: 973-223-5390
Dr. Clarese M Crenshaw, DNP, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109 Phone: 973-450-2000
Stephanie C Mccarthy, R.N., A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109 Phone: 973-450-2000 Fax: 973-450-2644
Vida Sarkodie, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Brighton Ave, Belleville, NJ 07109 Phone: 862-596-0705

Thea De Guzman Intal, FNP-C - Medicare Nurse Practitioner in Belleville, NJ