Mrs Tatiana Villa, FNP in Bronx, NY - Medicare Nurse Practitioner

Mrs Tatiana Villa, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. Her current practice location is 1065 Southern Blvd, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 589-2440.

Mrs Tatiana Villa is licensed to practice in New York (license number F339608-1) 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 1144573908.

Contact Information

	Mrs Tatiana Villa, FNP
	1065 Southern Blvd, Bronx, NY 10459-2417
	(718) 589-2440
	(718) 991-4516

Map and Direction

Provider's Profile

Full Name	Mrs Tatiana Villa
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1065 Southern Blvd, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144573908
Provider Enumeration Date: 10/17/2012
Last Update Date: 05/13/2015

Medicare PECOS Information:

PECOS PAC ID: 0345540571
Enrollment ID: I20151119002471

Medical Identifiers

Medical identifiers for Mrs Tatiana Villa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144573908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F339608-1 (New York)	Primary
163W00000X	Registered Nurse	653648-1 (New York)	Secondary

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 Tatiana Villa allows following entities to bill medicare on her behalf.

Entity Name	Urban Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265596548 PECOS PAC ID: 3173517281 Enrollment ID: O20040412001518

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 Tatiana Villa 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 Tatiana Villa, FNP 1065 Southern Blvd, Bronx, NY 10459-2417 Ph: (718) 589-2440	Mrs Tatiana Villa, FNP 1065 Southern Blvd, Bronx, NY 10459-2417 Ph: (718) 589-2440

Reviews and Comments

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Mrs Tatiana Villa, FNP - Medicare Nurse Practitioner in Bronx, NY