Tanyiska Fonda, NP-C - Medicare Nurse Practitioner in Dothan, AL

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Tanyiska Fonda, NP-C is a medicare enrolled "Nurse Practitioner" in Dothan, Alabama. Her current practice location is 4370 W Main St, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 794-5000.

Tanyiska Fonda is licensed to practice in Alabama (license number 1-104056) 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 1528415478.

Contact Information

Tanyiska Fonda, NP-C
4370 W Main St,
Dothan, AL 36305-1056
(334) 794-5000
Not Available

Map and Direction




Provider's Profile

Full NameTanyiska Fonda
GenderFemale
SpecialityNurse Practitioner
Location4370 W Main St, Dothan, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528415478
  • Provider Enumeration Date: 05/20/2016
  • Last Update Date: 05/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6608169933
  • Enrollment ID: I20160725002283

Medical Identifiers

Medical identifiers for Tanyiska Fonda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528415478NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-104056 (Alabama)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. Tanyiska Fonda allows following entities to bill medicare on her behalf.
Entity NameProfessional Resource Managment Of Wiregrass, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740358837
PECOS PAC ID: 5698714525
Enrollment ID: O20050428001294
Entity NameApp Of Alabama Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659646040
PECOS PAC ID: 3577725068
Enrollment ID: O20120430000174
Entity NameSouthern Alabama Physicians, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467701490
PECOS PAC ID: 0345499562
Enrollment ID: O20121003000896
Entity NameApp Of Alabama Hm, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245713684
PECOS PAC ID: 8921342858
Enrollment ID: O20181204002903

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. Tanyiska Fonda 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 AddressPractice Location Address
Tanyiska Fonda, NP-C
4370 W Main St,
Dothan, AL 36305-1056

Ph: (334) 794-5000		Tanyiska Fonda, NP-C
4370 W Main St,
Dothan, AL 36305-1056

Ph: (334) 794-5000

Reviews and Comments


Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1812 E Main St, Dothan, AL 36301
Phone: 334-792-5184    Fax: 334-792-5190
Heather Young, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305
Phone: 334-836-1212    
Jenna Oates, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 287 Healthwest Dr, Dothan, AL 36303
Phone: 334-792-9500    
Mrs. Samantha Poole Carter, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305
Phone: 334-944-7056    Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 207 Haven Dr, Dothan, AL 36301
Phone: 334-793-3319    Fax: 334-793-2291
Amanda B Imming, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1901 Melba Drive, Dothan, AL 36301
Phone: 334-794-6611    Fax: 334-794-6614
Vickie D Sconyers, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305
Phone: 334-793-6511    Fax: 334-677-5642

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.