Dr Tanesha Nicole Elegbede, EDD in Bloomfield, CT

Dr Tanesha Nicole Elegbede, EDD is a medicare enrolled "Counselor - Professional" provider in Bloomfield, Connecticut. Her current practice location is 22 Mountain Ave Ste C, Bloomfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 966-7092.

Dr Tanesha Nicole Elegbede is licensed to practice in Connecticut (license number 6651) 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 1972387488.

Contact Information

	Dr Tanesha Nicole Elegbede, EDD
	22 Mountain Ave Ste C, Bloomfield, CT 06002-2339
	(860) 966-7092
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tanesha Nicole Elegbede
Gender	Female
Speciality	Counselor - Professional
Location	22 Mountain Ave Ste C, Bloomfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972387488
Provider Enumeration Date: 08/24/2023
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 7113468588
Enrollment ID: I20240925002636

Medical Identifiers

Medical identifiers for Dr Tanesha Nicole Elegbede such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972387488	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6651 (Connecticut)	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. Dr Tanesha Nicole Elegbede allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081

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. Dr Tanesha Nicole Elegbede 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
Dr Tanesha Nicole Elegbede, EDD 304 W Main St Ste 2-1174, Avon, CT 06001-4355 Ph: (860) 966-7092	Dr Tanesha Nicole Elegbede, EDD 22 Mountain Ave Ste C, Bloomfield, CT 06002-2339 Ph: (860) 966-7092

Reviews and Comments

Counselor in Bloomfield, CT

Patrice Anthia Moulton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Northwestern Dr, Bloomfield, CT 06002 Phone: 860-243-3477 Fax: 860-243-3224
Mrs. Lissette Baez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-243-6584 Fax: 860-243-6591
Juan Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-731-5522 Fax: 860-731-5536
Gail Rosenfeld, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Wild Rose Ct, Bloomfield, CT 06002 Phone: 860-205-1743
Tonya Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-731-5522 Fax: 860-731-5536
Joon Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-731-5522
Caroline Suzanne Carey Oesch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 West Dudley St, Bloomfield, CT 06002 Phone: 860-888-3518

Dr Tanesha Nicole Elegbede, EDD - Medicare Counselor in Bloomfield, CT