Tilksew A Tedla, in Fresno, CA - Medicare Nurse Practitioner

Tilksew A Tedla, is a medicare enrolled "Nurse Practitioner" in Fresno, California. His current practice location is 3795 E Shields Ave, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 412-7149.

Tilksew A Tedla is licensed to practice in Georgia (license number RN274800) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356856132.

Contact Information

	Tilksew A Tedla,
	3795 E Shields Ave, Fresno, CA 93726-7029
	(559) 412-7149
	Not Available

Map and Direction

Provider's Profile

Full Name	Tilksew A Tedla
Gender	Male
Speciality	Nurse Practitioner
Location	3795 E Shields Ave, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356856132
Provider Enumeration Date: 12/03/2017
Last Update Date: 10/15/2019

Medicare PECOS Information:

PECOS PAC ID: 4789937806
Enrollment ID: I20190806000484

Medical Identifiers

Medical identifiers for Tilksew A Tedla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356856132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP135884 (Texas)	Secondary
363L00000X	Nurse Practitioner	RN274800 (Georgia)	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. Tilksew A Tedla allows following entities to bill medicare on his behalf.

Entity Name	Pain Clinics Of Central California, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861060733 PECOS PAC ID: 0244615086 Enrollment ID: O20220915001235

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. Tilksew A Tedla 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
Tilksew A Tedla, 135 Carmen Ln, Santa Maria, CA 93458-7729 Ph: (805) 928-7361	Tilksew A Tedla, 3795 E Shields Ave, Fresno, CA 93726-7029 Ph: (559) 412-7149

Reviews and Comments

Nurse Practitioner Nurses in Fresno, CA

Ms. Sheila Orallo Mallory, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1867 E Fir Ave Ste 104, Fresno, CA 93720 Phone: 559-325-5876 Fax: 559-325-5838
Gretchen Nelson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 E Spruce Ave Ste 203, Fresno, CA 93720 Phone: 559-450-7272 Fax: 559-450-7276
Marlene Solomon Lim, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5755 E Kings Canyon Rd, Suite 104, Fresno, CA 93727 Phone: 559-255-7777 Fax: 559-454-1091
Ms. Yolanda Mata, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 257 N Dewitt Ave, Fresno, CA 93727 Phone: 559-255-1373
Tamara Carpenter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440
Natalie Betancur, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227
Irene Moore, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7130 N Millbrook Ave Ste 100, Fresno, CA 93720 Phone: 559-326-1222 Fax: 559-326-1230

Tilksew A Tedla, - Medicare Nurse Practitioner in Fresno, CA