Tara Shanti Kane, PNP in San Diego, CA - Medicare Nurse Practitioner

Tara Shanti Kane, PNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Diego, California. Her current practice location is 1260 Morena Blvd Ste 100, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 398-0355.

Tara Shanti Kane is licensed to practice in California (license number 95015265) 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 1982885414.

Contact Information

	Tara Shanti Kane, PNP
	1260 Morena Blvd Ste 100, San Diego, CA 92110-3850
	(619) 398-0355
	(619) 398-0350

Map and Direction

Provider's Profile

Full Name	Tara Shanti Kane
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1260 Morena Blvd Ste 100, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982885414
Provider Enumeration Date: 11/27/2007
Last Update Date: 02/23/2022

Medicare PECOS Information:

PECOS PAC ID: 3779663661
Enrollment ID: I20080104000273

Medical Identifiers

Medical identifiers for Tara Shanti Kane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982885414	NPI	-	NPPES
39062A	Other	NY	EMPLOYER MEDICARE NUMBER
00618162	Other	NY	EMPLOYER MEDICAID NUMBER
911020106	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP017314 (Pennsylvania)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APN.0995403-NP (Colorado)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP60794626 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	400990 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95015265 (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. Tara Shanti Kane allows following entities to bill medicare on her behalf.

Entity Name	Family Services Of Chemung County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619922432 PECOS PAC ID: 2365332236 Enrollment ID: O20040316001161

Entity Name	Family Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316939457 PECOS PAC ID: 1658284542 Enrollment ID: O20050622001234

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. Tara Shanti Kane 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
Tara Shanti Kane, PNP 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 Ph: (619) 398-0355	Tara Shanti Kane, PNP 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 Ph: (619) 398-0355

Reviews and Comments

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Tara Shanti Kane, PNP - Medicare Nurse Practitioner in San Diego, CA