Jennifer M Tandoc, - Medicare Nurse Practitioner in Dayton, OH

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Jennifer M Tandoc, is a medicare enrolled "Nurse Practitioner - Family" in Dayton, Ohio. Her current practice location is 6125 N Main St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (731) 394-1145.

Jennifer M Tandoc is licensed to practice in Ohio (license number APRN.CNP.06859) 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 1508898172.

Contact Information

Jennifer M Tandoc,
6125 N Main St,
Dayton, OH 45415-3110
(731) 394-1145
Not Available

Map and Direction




Provider's Profile

Full NameJennifer M Tandoc
GenderFemale
SpecialityNurse Practitioner - Family
Location6125 N Main St, Dayton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508898172
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 04/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6507845419
  • Enrollment ID: I20130308000414

Medical Identifiers

Medical identifiers for Jennifer M Tandoc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508898172NPI-NPPES
78003720MedicaidKY
P00847802OtherKYRAILROAD MEDICARE
500012750OtherKYRAILROAD MEDICARE
3088224MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 3003193 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family APRN.CNP.06859 (Ohio)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. Jennifer M Tandoc allows following entities to bill medicare on her behalf.
Entity NameSeniors First Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154324275
PECOS PAC ID: 0244251866
Enrollment ID: O20051212000304
Entity NameCrescent Health, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497854152
PECOS PAC ID: 3476563636
Enrollment ID: O20060502000711
Entity NameAds Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366706749
PECOS PAC ID: 3476709601
Enrollment ID: O20120803000383
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210303002044

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. Jennifer M Tandoc 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 AddressPractice Location Address
Jennifer M Tandoc,
36 Pemberton Cv,
Jackson, TN 38305-5514

Ph: (731) 394-1145		Jennifer M Tandoc,
6125 N Main St,
Dayton, OH 45415-3110

Ph: (731) 394-1145

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.