Ms Tamikque Vane Escourse, FNP - Medicare Nurse Practitioner in Avon, CT

Ms Tamikque Vane Escourse, FNP is a medicare enrolled "Nurse Practitioner - Family" in Avon, Connecticut. Her current practice location is 385 W Main St, Avon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 212-5040.

Ms Tamikque Vane Escourse is licensed to practice in New York (license number 33335747) 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 1760623185.

Contact Information

Ms Tamikque Vane Escourse, FNP
385 W Main St,
Avon, CT 06001-4357
(860) 212-5040
(860) 545-3755

Map and Direction




Provider's Profile

Full NameMs Tamikque Vane Escourse
GenderFemale
SpecialityNurse Practitioner - Family
Location385 W Main St, Avon, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760623185
  • Provider Enumeration Date: 03/14/2009
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820266703
  • Enrollment ID: I20160505000928

Medical Identifiers

Medical identifiers for Ms Tamikque Vane Escourse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760623185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 33335747 (New York)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. Ms Tamikque Vane Escourse allows following entities to bill medicare on her behalf.
Entity NameQuentin Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487087250
PECOS PAC ID: 4981833647
Enrollment ID: O20140130000098
Entity NameQmg 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437546363
PECOS PAC ID: 0345541512
Enrollment ID: O20151211000754
Entity NameQmg4 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023471299
PECOS PAC ID: 4284912957
Enrollment ID: O20161031002469
Entity NameQmg3 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053856039
PECOS PAC ID: 8628353117
Enrollment ID: O20170324000321
Entity NameHartford Healthcare Urgent Care Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093239683
PECOS PAC ID: 7618242777
Enrollment ID: O20170929001464
Entity NameQmg5 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386233344
PECOS PAC ID: 2062820913
Enrollment ID: O20210414002118

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. Ms Tamikque Vane Escourse 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 AddressPractice Location Address
Ms Tamikque Vane Escourse, FNP
355 Captain Thomas Blvd Unit 52,
West Haven, CT 06516-5802

Ph: (929) 240-0985
Ms Tamikque Vane Escourse, FNP
385 W Main St,
Avon, CT 06001-4357

Ph: (860) 212-5040

Reviews and Comments


Nurse Practitioner Nurses in Avon, CT

Sasha Perry, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 21 Waterville Rd, Avon, CT 06001
Phone: 860-284-0182    
Deborah L Collins-perrica,
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Medicare: Not Enrolled in Medicare
Practice Location: 21 Waterville Rd, Avon, CT 06001
Phone: 860-284-0182    Fax: 860-284-6804
Latonya Sheriee King, PMHNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 152 Simsbury Rd Bldg 9, Avon, CT 06001
Phone: 802-565-1755    Fax: 860-650-1920
Courtney Streeto, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 21 Waterville Rd, Avon, CT 06001
Phone: 860-284-0182    
Marjorie Arni, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 21 Waterville Rd, Avon, CT 06001
Phone: 860-674-2691    Fax: 860-677-6443
Mr. David Yarbrough, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 385 W Main St, Avon, CT 06001
Phone: 860-777-1280    
Debra Anne Gage, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 80 Fisher Drive, Hartford Hospital Cancer Center, Avon, CT 06001
Phone: 860-674-0088    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.