Tijuana Temple, FNP in Coram, NY - Medicare Nurse Practitioner

Tijuana Temple, FNP is a medicare enrolled "Nurse Practitioner - Family" in Coram, New York. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Robert Courgi Llc, Positive Change Psychiatry Pllc and her current practice location is 65 Pennaquid Rd, Coram, New York. You can reach out to her office (for appointments etc.) via phone at (631) 605-1783.

Tijuana Temple is licensed to practice in New York (license number 348067) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1881369486.

Contact Information

	Tijuana Temple, FNP
	65 Pennaquid Rd, Coram, NY 11727-1227
	(631) 605-1783
	Not Available

Map and Direction

Provider's Profile

Full Name	Tijuana Temple
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	65 Pennaquid Rd, Coram, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tijuana Temple graduated from nursing school in 2021

NPI Data:

NPI Number: 1881369486
Provider Enumeration Date: 08/16/2021
Last Update Date: 08/16/2021

Medicare PECOS Information:

PECOS PAC ID: 2466843990
Enrollment ID: I20211216002940

Medical Identifiers

Medical identifiers for Tijuana Temple such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881369486	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	348067 (New York)	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. Tijuana Temple allows following entities to bill medicare on her behalf.

Entity Name	Fulton Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841635133 PECOS PAC ID: 8527201540 Enrollment ID: O20130823000424

Entity Name	Positive Change Psychiatry Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265821953 PECOS PAC ID: 7517285455 Enrollment ID: O20150406001187

Entity Name	Michael Bishai Md, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730609827 PECOS PAC ID: 1153693254 Enrollment ID: O20170824001735

Entity Name	Robert Courgi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174269039 PECOS PAC ID: 4385023761 Enrollment ID: O20220615000016

Entity Name	T Temple Family Health Np Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912643487 PECOS PAC ID: 1759752637 Enrollment ID: O20230201001648

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. Tijuana Temple 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
Tijuana Temple, FNP 65 Pennaquid Rd, Coram, NY 11727-1227 Ph: (631) 605-1783	Tijuana Temple, FNP 65 Pennaquid Rd, Coram, NY 11727-1227 Ph: (631) 605-1783

Reviews and Comments

Nurse Practitioner Nurses in Coram, NY

Susan Hamill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 82 Middle Country Rd, Elsie Owens Health Center - Hrhcare, Inc., Coram, NY 11727 Phone: 631-320-2200 Fax: 631-698-8570
Thao Nguyen, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12 Fairwood Ln, Coram, NY 11727 Phone: 631-318-4004 Fax: 631-318-6443
Mrs. Janet Audrey Stone, NP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 82 Middle Country Rd, Elsie Owens Health Center - Hrhcare, Inc., Coram, NY 11727 Phone: 631-320-2220 Fax: 631-698-3570
Marilyn F Conner, CANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 82 Middle Country Road, The Elsie Owens N Brookhaven Health Center At Coram, Coram, NY 11727 Phone: 631-854-2301 Fax: 631-854-2104
Ms. Ada Lisette Leon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49 Wilmont Turn, Coram, NY 11727 Phone: 917-513-1386
Mr. Cameron Gittens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2208 Townehouse Dr, Coram, NY 11727 Phone: 631-681-1102
Mrs. Elizabeth Ratnamala Benjamin, NURSE PRACTIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8500 Fax: 631-920-8501

Tijuana Temple, FNP - Medicare Nurse Practitioner in Coram, NY