Rosheka Deon Tenner, PA-C is a medicare enrolled "Physician Assistant - Medical" in Waynesboro, Mississippi. Her current practice location is
950 Matthew Dr, Waynesboro, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 735-5151.
Rosheka Deon Tenner is licensed to practice in Mississippi (license number PA00824) 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 1336973734.
Provider's Profile
Full Name | Rosheka Deon Tenner |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 950 Matthew Dr, Waynesboro, Mississippi |
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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: 1336973734
- Provider Enumeration Date: 08/28/2024
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416481155
- Enrollment ID: I20241118000704
Medical Identifiers
Medical identifiers for Rosheka Deon Tenner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336973734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA00824 (Mississippi) | Primary |
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. Rosheka Deon Tenner 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 |
Rosheka Deon Tenner, PA-C 950 Matthew Dr, Waynesboro, MS 39367-2590 Ph: (601) 735-5151 | Rosheka Deon Tenner, PA-C 950 Matthew Dr, Waynesboro, MS 39367-2590 Ph: (601) 735-5151 |
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