Tanya Kidandi, in Fort Worth, TX - Medicare Nurse Practitioner

Tanya Kidandi, is a medicare enrolled "Nurse Practitioner - Primary Care" in Fort Worth, Texas. Her current practice location is 1325 Pennsylvania Ave Ste 560, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 250-7240.

Tanya Kidandi is licensed to practice in Texas (license number 1030527) 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 1104294875.

Contact Information

	Tanya Kidandi,
	1325 Pennsylvania Ave Ste 560, Fort Worth, TX 76104-2152
	(817) 250-7240
	Not Available

Map and Direction

Provider's Profile

Full Name	Tanya Kidandi
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1325 Pennsylvania Ave Ste 560, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104294875
Provider Enumeration Date: 09/10/2015
Last Update Date: 10/09/2024

Medicare PECOS Information:

PECOS PAC ID: 1759690431
Enrollment ID: I20171020003008

Medical Identifiers

Medical identifiers for Tanya Kidandi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104294875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	6586-33 (Wisconsin)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	1030527 (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. Tanya Kidandi allows following entities to bill medicare on her behalf.

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831127364 PECOS PAC ID: 5294637385 Enrollment ID: O20040121000027

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228

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. Tanya Kidandi 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
Tanya Kidandi, 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 Ph: () -	Tanya Kidandi, 1325 Pennsylvania Ave Ste 560, Fort Worth, TX 76104-2152 Ph: (817) 250-7240

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805
Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Tanya Kidandi, - Medicare Nurse Practitioner in Fort Worth, TX