Selina E Tristan, APRN,FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Edinburg, Texas. Her current practice location is
611 Bishop St, Edinburg, Texas. You can reach out to her office (for appointments etc.) via phone at
(956) 792-1636.
Selina E Tristan is licensed to practice in Texas (license number AP142157) 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 1104467562.
Physician's Profile
Full Name | Selina E Tristan |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 611 Bishop St, Edinburg, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104467562
- Provider Enumeration Date: 10/07/2019
- Last Update Date: 03/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658786009
- Enrollment ID: I20210216002740
Medical Identifiers
Medical identifiers for Selina E Tristan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104467562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VX0000X | Obstetrics & Gynecology - Obstetrics | AP142157 (Texas) | Secondary |
363L00000X | Nurse Practitioner | AP142157 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP142157 (Texas) | 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. Selina E Tristan allows following entities to bill medicare on her behalf.
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
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Entity Name | Carlos E Puig Mdpa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053896365 PECOS PAC ID: 7012269871 Enrollment ID: O20181008000248 |
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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. Selina E Tristan 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 |
Selina E Tristan, APRN,FNP-C 801 E Nolana Ave Ste 18, Mcallen, TX 78504-6112 Ph: (956) 540-5226 | Selina E Tristan, APRN,FNP-C 611 Bishop St, Edinburg, TX 78539-0920 Ph: (956) 792-1636 |
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