Mrs Fanny Almeydi Rivera Tiller, in Round Rock, TX

Mrs Fanny Almeydi Rivera Tiller, is a medicare enrolled "Nurse Practitioner - Family" in Round Rock, Texas. Her current practice location is 620 Round Rock West Dr, Round Rock, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 827-7422.

Mrs Fanny Almeydi Rivera Tiller is licensed to practice in Texas (license number AP141418) 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 1376108464.

Contact Information

	Mrs Fanny Almeydi Rivera Tiller,
	620 Round Rock West Dr, Round Rock, TX 78681-5086
	(512) 827-7422
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Fanny Almeydi Rivera Tiller
Gender	Female
Speciality	Nurse Practitioner - Family
Location	620 Round Rock West Dr, Round Rock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376108464
Provider Enumeration Date: 05/05/2019
Last Update Date: 05/05/2019

Medicare PECOS Information:

PECOS PAC ID: 4587086251
Enrollment ID: I20200625001574

Medical Identifiers

Medical identifiers for Mrs Fanny Almeydi Rivera Tiller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376108464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP141418 (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 Fanny Almeydi Rivera Tiller allows following entities to bill medicare on her behalf.

Entity Name	Vmd Primary Providers Of South Central Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790318566 PECOS PAC ID: 7911337472 Enrollment ID: O20200423002171

Entity Name	Global Wound Care Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230513000021

Entity Name	American Wound Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20240326001683

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 Fanny Almeydi Rivera Tiller 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 Fanny Almeydi Rivera Tiller, 12301 Ryden St, Manor, TX 78653-9775 Ph: (512) 906-7564	Mrs Fanny Almeydi Rivera Tiller, 620 Round Rock West Dr, Round Rock, TX 78681-5086 Ph: (512) 827-7422

Reviews and Comments

Nurse Practitioner Nurses in Round Rock, TX

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Arlene M Zwald, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 N Georgetown St, Round Rock, TX 78664 Phone: 512-244-8480
Cheryl Bush, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 N A W Grimes Blvd Ste N103, Round Rock, TX 78665 Phone: 877-800-5722 Fax: 512-218-1249
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Deepa Gaba, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5150 N A W Grimes Blvd, Round Rock, TX 78665 Phone: 512-982-9929

Mrs Fanny Almeydi Rivera Tiller, - Medicare Nurse Practitioner in Round Rock, TX