Mrs Diana Tatarkhanova, NP in San Carlos, CA - Medicare Nurse Practitioner

Mrs Diana Tatarkhanova, NP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in San Carlos, California. Her current practice location is 301 Industrial Rd, San Carlos, California. You can reach out to her office (for appointments etc.) via phone at (650) 596-4240.

Mrs Diana Tatarkhanova is licensed to practice in California (license number NP95017987) 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 1043988231.

Contact Information

	Mrs Diana Tatarkhanova, NP
	301 Industrial Rd, San Carlos, CA 94070-2603
	(650) 596-4240
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Diana Tatarkhanova
Gender	Female
Speciality	Nurse Practitioner - Obstetrics & Gynecology
Location	301 Industrial Rd, San Carlos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043988231
Provider Enumeration Date: 09/01/2021
Last Update Date: 05/24/2022

Medicare PECOS Information:

PECOS PAC ID: 7315325404
Enrollment ID: I20220601002441

Medical Identifiers

Medical identifiers for Mrs Diana Tatarkhanova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043988231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95017987 (California)	Secondary
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	NP95017987 (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. Mrs Diana Tatarkhanova allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mrs Diana Tatarkhanova 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
Mrs Diana Tatarkhanova, NP 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 596-4240	Mrs Diana Tatarkhanova, NP 301 Industrial Rd, San Carlos, CA 94070-2603 Ph: (650) 596-4240

Reviews and Comments

Nurse Practitioner Nurses in San Carlos, CA

Amy Kathleen Mccarthy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4000
Miss Christine Natan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4240
Grace Watson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4240
Christina F Van Divner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4130
Michelle Karen Lee, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4000
Mrs. Sarina Mai Lee Safina, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Shoreway Rd Ste A, San Carlos, CA 94070 Phone: 650-556-9420 Fax: 661-678-2779

Mrs Diana Tatarkhanova, NP - Medicare Nurse Practitioner in San Carlos, CA