Patricia Allison Tatum, NURSE PRACTITIONER is a medicare enrolled "Family Medicine" in Los Altos Hills, California. Her current practice location is
14355 Miranda Way, Los Altos Hills, California. You can reach out to her office (for appointments etc.) via phone at
(888) 731-8994.
Patricia Allison Tatum is licensed to practice in Texas (license number 650816) 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 1194862961.
Provider's Profile
Full Name | Patricia Allison Tatum |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 14355 Miranda Way, Los Altos Hills, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194862961
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315097110
- Enrollment ID: I20090617000410
Medical Identifiers
Medical identifiers for Patricia Allison Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194862961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 650816 (Texas) | Secondary |
207Q00000X | Family Medicine | 650816 (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. Patricia Allison Tatum allows following entities to bill medicare on her behalf.
Entity Name | Waco Functional Medicine, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093016826 PECOS PAC ID: 0244416162 Enrollment ID: O20110510000819 |
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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. Patricia Allison Tatum 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 |
Patricia Allison Tatum, NURSE PRACTITIONER 155 County Road 511, Stephenville, TX 76401-8064 Ph: (254) 723-0362 | Patricia Allison Tatum, NURSE PRACTITIONER 14355 Miranda Way, Los Altos Hills, CA 94022-2032 Ph: (888) 731-8994 |
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