Jisha Tom, NP in Houston, TX - Medicare Nurse Practitioner

Jisha Tom, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Houston, Texas. Her current practice location is 1515 Holcombe Blvd, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 792-6161.

Jisha Tom is licensed to practice in Texas (license number AP141184) 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 1205478427.

Contact Information

	Jisha Tom, NP
	1515 Holcombe Blvd, Houston, TX 77030-4000
	(713) 792-6161
	Not Available

Map and Direction

Provider's Profile

Full Name	Jisha Tom
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1515 Holcombe Blvd, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205478427
Provider Enumeration Date: 10/09/2019
Last Update Date: 02/10/2020

Medicare PECOS Information:

PECOS PAC ID: 8729412002
Enrollment ID: I20191218003196

Medical Identifiers

Medical identifiers for Jisha Tom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205478427	NPI	-	NPPES
405838001	Medicaid	TX
405838002	Other	TX	MEDICAID-CSHCN
8LZ698	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	AP141184 (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. Jisha Tom allows following entities to bill medicare on her behalf.

Entity Name	Physicians Referral Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953

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. Jisha Tom 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
Jisha Tom, NP Po Box 4439, Houston, TX 77210-4439 Ph: (713) 792-6161	Jisha Tom, NP 1515 Holcombe Blvd, Houston, TX 77030-4000 Ph: (713) 792-6161

Reviews and Comments

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Mrs. Judie Ellen Franks, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12606 West Houston Center Blvd., Suite #110, Houston, TX 77082 Phone: 281-558-3376 Fax: 281-558-0544
Janet L Attisha, RN, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6560 Fannin St, Ste 1260, Houston, TX 77030 Phone: 713-797-0466 Fax: 713-797-0451
Miss Jennifer Elaine Roemer, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6621 Fannin St, Mc 3-3320, Houston, TX 77030 Phone: 832-822-1539 Fax: 832-825-1530
Kimberly Fugman Byrum, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13802 Centerfield Rd, Suite 300, Houston, TX 77070 Phone: 281-737-0999 Fax: 281-737-0926
Megan J Tanner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161
Angela Hill, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6621 Fannin St # Mca4480, Houston, TX 77030 Phone: 832-824-1000
Jordan L Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161

Jisha Tom, NP - Medicare Nurse Practitioner in Houston, TX