Mrs Tessa Nicole Mauldin, MS, APRN, AGNP-C in Tyler, TX

Mrs Tessa Nicole Mauldin, MS, APRN, AGNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Tyler, Texas. Her current practice location is 5040 Kinsey Dr Ste 300, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 561-8300.

Mrs Tessa Nicole Mauldin is licensed to practice in Texas (license number AP134542) 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 1851814172.

Contact Information

	Mrs Tessa Nicole Mauldin, MS, APRN, AGNP-C
	5040 Kinsey Dr Ste 300, Tyler, TX 75703-3046
	(903) 561-8300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tessa Nicole Mauldin
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	5040 Kinsey Dr Ste 300, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851814172
Provider Enumeration Date: 07/18/2017
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 6204109267
Enrollment ID: I20170913002611

Medical Identifiers

Medical identifiers for Mrs Tessa Nicole Mauldin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851814172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP134542 (Texas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP134542 (Texas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AP134542 (Texas)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	AP134542 (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. Mrs Tessa Nicole Mauldin allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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 Tessa Nicole Mauldin 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 Tessa Nicole Mauldin, MS, APRN, AGNP-C 205 Tully Trl, Whitehouse, TX 75791-3131 Ph: () -	Mrs Tessa Nicole Mauldin, MS, APRN, AGNP-C 5040 Kinsey Dr Ste 300, Tyler, TX 75703-3046 Ph: (903) 561-8300

Reviews and Comments

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Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211

Mrs Tessa Nicole Mauldin, MS, APRN, AGNP-C - Medicare Nurse Practitioner in Tyler, TX