Mrs Tenishia Kim Santiago, PMHNP-BC in Camp Lejeune, NC

Mrs Tenishia Kim Santiago, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Camp Lejeune, North Carolina. Her current practice location is 100 Brewster Blvd, Camp Lejeune, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 449-2779.

Mrs Tenishia Kim Santiago is licensed to practice in Georgia (license number RN273857) 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 1497254932.

Contact Information

	Mrs Tenishia Kim Santiago, PMHNP-BC
	100 Brewster Blvd, Camp Lejeune, NC 28547-2538
	(910) 449-2779
	(910) 450-4452

Map and Direction

Provider's Profile

Full Name	Mrs Tenishia Kim Santiago
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	100 Brewster Blvd, Camp Lejeune, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497254932
Provider Enumeration Date: 02/11/2018
Last Update Date: 01/02/2024

Medicare PECOS Information:

PECOS PAC ID: 7113277369
Enrollment ID: I20180910000385

Medical Identifiers

Medical identifiers for Mrs Tenishia Kim Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497254932	NPI	-	NPPES
003208756A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN273857 (Georgia)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024176300 (Virginia)	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 Tenishia Kim Santiago allows following entities to bill medicare on her behalf.

Entity Name	Hhc St. Simons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972557916 PECOS PAC ID: 7911921374 Enrollment ID: O20060405000583

Entity Name	Sgmp Southland, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447695085 PECOS PAC ID: 1153563770 Enrollment ID: O20130812000452

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 Tenishia Kim Santiago 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 Tenishia Kim Santiago, PMHNP-BC 1631 Midtown Pl Ste 104-110, Raleigh, NC 27609-1300 Ph: (336) 355-2142	Mrs Tenishia Kim Santiago, PMHNP-BC 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 Ph: (910) 449-2779

Reviews and Comments

Nurse Practitioner Nurses in Camp Lejeune, NC

John Angus Morgan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194
Lauren Hunter Langley, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-3905 Fax: 910-450-4558
Miss Karen Kathleen Bloch, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357
Ms. Rafaela Thomas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194
Carmen Traitor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 252-342-5016
Lisa Harris, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4136 Fax: 910-450-4558
Theresa Mayo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4700

Mrs Tenishia Kim Santiago, PMHNP-BC - Medicare Nurse Practitioner in Camp Lejeune, NC