Tamikio P Anderson, FNP in Philadelphia, PA - Medicare Nurse Practitioner

Tamikio P Anderson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 269-5705.

Tamikio P Anderson is licensed to practice in Pennsylvania (license number SP026222) 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 1104546068.

Contact Information

	Tamikio P Anderson, FNP
	3401 N Broad St, Philadelphia, PA 19140-5189
	(267) 269-5705
	Not Available

Map and Direction

Provider's Profile

Full Name	Tamikio P Anderson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3401 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104546068
Provider Enumeration Date: 08/31/2022
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2860848991
Enrollment ID: I20231026001061

Medical Identifiers

Medical identifiers for Tamikio P Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104546068	NPI	-	NPPES
SP026222	Other	PA	CRNP LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP026222 (Pennsylvania)	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. Tamikio P Anderson allows following entities to bill medicare on her behalf.

Entity Name	Alegis Care - Pennsylvania Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548511017 PECOS PAC ID: 8921231820 Enrollment ID: O20140430000373

Entity Name	Monogram Health Professional Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20220808002650

Entity Name	Evernorth Care Providers - Delaware Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457138182 PECOS PAC ID: 6002217973 Enrollment ID: O20231211002305

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. Tamikio P Anderson 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
Tamikio P Anderson, FNP 3401 N Broad St, Philadelphia, PA 19140-5189 Ph: (267) 269-5705	Tamikio P Anderson, FNP 3401 N Broad St, Philadelphia, PA 19140-5189 Ph: (267) 269-5705

Reviews and Comments

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Tamikio P Anderson, FNP - Medicare Nurse Practitioner in Philadelphia, PA