Cornelia Tjandra, FNP in San Bruno, CA - Medicare Nurse Practitioner

Cornelia Tjandra, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Bruno, California. Her current practice location is 3300 College Dr Bldg 19, San Bruno, California. You can reach out to her office (for appointments etc.) via phone at (650) 738-4270.

Cornelia Tjandra is licensed to practice in California (license number 17905) 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 1841466406.

Contact Information

	Cornelia Tjandra, FNP
	3300 College Dr Bldg 19, San Bruno, CA 94066-1698
	(650) 738-4270
	Not Available

Map and Direction

Provider's Profile

Full Name	Cornelia Tjandra
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3300 College Dr Bldg 19, San Bruno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841466406
Provider Enumeration Date: 05/05/2008
Last Update Date: 03/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7719041318
Enrollment ID: I20090127000133

Medical Identifiers

Medical identifiers for Cornelia Tjandra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841466406	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R196275 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	17905 (California)	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. Cornelia Tjandra allows following entities to bill medicare on her behalf.

Entity Name	Alameda Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764

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. Cornelia Tjandra 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
Cornelia Tjandra, FNP 5315 Pacific Terrace Ct, Castro Valley, CA 94552-5539 Ph: (510) 876-8110	Cornelia Tjandra, FNP 3300 College Dr Bldg 19, San Bruno, CA 94066-1698 Ph: (650) 738-4270

Reviews and Comments

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Nancy Elain Curry, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Ln Ste 300, San Bruno, CA 94066 Phone: 615-650-6000
Ms. Erleen Solon Fernandez, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 82 Linden Ave Apt 3, San Bruno, CA 94066 Phone: 650-588-5458
Zahra Naderi Asiabar, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 851 Cherry Ave Ste 4, San Bruno, CA 94066 Phone: 800-972-5547

Cornelia Tjandra, FNP - Medicare Nurse Practitioner in San Bruno, CA