Stephanie Michelle Tai, FNP, MSN, RN in Berkeley, CA

Stephanie Michelle Tai, FNP, MSN, RN is a medicare enrolled "Nurse Practitioner - Family" in Berkeley, California. Her current practice location is 2500 Milvia St, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 204-5600.

Stephanie Michelle Tai is licensed to practice in California (license number 95005891) 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 1043753957.

Contact Information

	Stephanie Michelle Tai, FNP, MSN, RN
	2500 Milvia St, Berkeley, CA 94704-2636
	(510) 204-5600
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Michelle Tai
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2500 Milvia St, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043753957
Provider Enumeration Date: 11/24/2016
Last Update Date: 07/26/2021

Medicare PECOS Information:

PECOS PAC ID: 8921385584
Enrollment ID: I20170508002512

Medical Identifiers

Medical identifiers for Stephanie Michelle Tai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043753957	NPI	-	NPPES
95005891	Other	CA	STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95005891 (California)	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. Stephanie Michelle Tai allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Stephanie Michelle Tai 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
Stephanie Michelle Tai, FNP, MSN, RN 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (510) 204-5514	Stephanie Michelle Tai, FNP, MSN, RN 2500 Milvia St, Berkeley, CA 94704-2636 Ph: (510) 204-5600

Reviews and Comments

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Stephanie Michelle Tai, FNP, MSN, RN - Medicare Nurse Practitioner in Berkeley, CA