Kimberly D Tankasali, PA-C in Pompton Plains, NJ

Kimberly D Tankasali, PA-C is a medicare enrolled "Physician Assistant - Medical" in Pompton Plains, New Jersey. Her current practice location is 97 W Parkway, Pompton Plains, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 831-5446.

Kimberly D Tankasali is licensed to practice in New Jersey (license number 25MP00145300) 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 1417061870.

Contact Information

	Kimberly D Tankasali, PA-C
	97 W Parkway, Pompton Plains, NJ 07444-1647
	(973) 831-5446
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly D Tankasali
Gender	Female
Speciality	Physician Assistant - Medical
Location	97 W Parkway, Pompton Plains, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417061870
Provider Enumeration Date: 08/19/2006
Last Update Date: 10/02/2012

Medicare PECOS Information:

PECOS PAC ID: 5395769392
Enrollment ID: I20070406000300

Medical Identifiers

Medical identifiers for Kimberly D Tankasali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417061870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	010698 (New York)	Secondary
363AM0700X	Physician Assistant - Medical	25MP00145300 (New Jersey)	Primary

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. Kimberly D Tankasali 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
Kimberly D Tankasali, PA-C 97 W Parkway, C/o Emergency Department, Pompton Plains, NJ 07444-1647 Ph: (973) 831-5930	Kimberly D Tankasali, PA-C 97 W Parkway, Pompton Plains, NJ 07444-1647 Ph: (973) 831-5446

Reviews and Comments

Physician Assistant Nurses in Pompton Plains, NJ

Caitlyn A Horgan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12 Kenmore Rd, Pompton Plains, NJ 07444 Phone: 973-897-6532
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Mrs. Jennifer Leigh Destefano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 230 West Parkway, Unit #10, Pompton Plains, NJ 07444 Phone: 973-835-0800 Fax: 973-616-2766
Sheena Shah, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 230 W Parkway, Pompton Plains, NJ 07444 Phone: 973-835-0800
Christine Marie Hatter, Physician Assistant Medicare: Medicare Enrolled Practice Location: 242 W Parkway Ste 100, Pompton Plains, NJ 07444 Phone: 973-831-5043 Fax: 973-831-5790
Daniel Louis Savino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 97 W Parkway, Pompton Plains, NJ 07444 Phone: 973-831-5155 Fax: 973-907-1069

Kimberly D Tankasali, PA-C - Medicare Physician Assistant in Pompton Plains, NJ