Elizabeth Lemfeyin Wisiy Tata-acha, NP in Beverly Hills, CA

Elizabeth Lemfeyin Wisiy Tata-acha, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Beverly Hills, California. Her current practice location is 113 N San Vicente Blvd Ste 268, Beverly Hills, California. You can reach out to her office (for appointments etc.) via phone at (747) 732-4549.

Elizabeth Lemfeyin Wisiy Tata-acha is licensed to practice in California (license number 95021283) 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 1881318863.

Contact Information

	Elizabeth Lemfeyin Wisiy Tata-acha, NP
	113 N San Vicente Blvd Ste 268, Beverly Hills, CA 90211-2329
	(747) 732-4549
	(747) 237-3305

Map and Direction

Provider's Profile

Full Name	Elizabeth Lemfeyin Wisiy Tata-acha
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	113 N San Vicente Blvd Ste 268, Beverly Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881318863
Provider Enumeration Date: 10/03/2022
Last Update Date: 11/09/2023

Medicare PECOS Information:

PECOS PAC ID: 2961852470
Enrollment ID: I20231226001342

Medical Identifiers

Medical identifiers for Elizabeth Lemfeyin Wisiy Tata-acha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881318863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95021283 (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. Elizabeth Lemfeyin Wisiy Tata-acha allows following entities to bill medicare on her behalf.

Entity Name	Soundmind Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821879917 PECOS PAC ID: 2062862576 Enrollment ID: O20231226001283

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. Elizabeth Lemfeyin Wisiy Tata-acha 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
Elizabeth Lemfeyin Wisiy Tata-acha, NP 113 North San Vincente Boulevard Suite 268, Beverly Hills, CA 90211-2329 Ph: (818) 900-3573	Elizabeth Lemfeyin Wisiy Tata-acha, NP 113 N San Vicente Blvd Ste 268, Beverly Hills, CA 90211-2329 Ph: (747) 732-4549

Reviews and Comments

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Elizabeth Lemfeyin Wisiy Tata-acha, NP - Medicare Nurse Practitioner in Beverly Hills, CA