Tenisha Edmiston, APN in San Jose, CA - Medicare Nurse Practitioner

Tenisha Edmiston, APN is a medicare enrolled "Nurse Practitioner - Family" in San Jose, California. Her current practice location is 4735 Hamilton Ave, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 913-1101.

Tenisha Edmiston is licensed to practice in California (license number 95009464) 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 1295285765.

Contact Information

	Tenisha Edmiston, APN
	4735 Hamilton Ave, San Jose, CA 95130-1769
	(408) 913-1101
	Not Available

Map and Direction

Provider's Profile

Full Name	Tenisha Edmiston
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4735 Hamilton Ave, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295285765
Provider Enumeration Date: 10/10/2016
Last Update Date: 07/30/2019

Medicare PECOS Information:

PECOS PAC ID: 1557780673
Enrollment ID: I20200923000926

Medical Identifiers

Medical identifiers for Tenisha Edmiston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295285765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ00663400 (New Jersey)	Secondary
363LF0000X	Nurse Practitioner - Family	95009464 (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. Tenisha Edmiston allows following entities to bill medicare on her behalf.

Entity Name	Carbon Health Medical Group Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276

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. Tenisha Edmiston 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
Tenisha Edmiston, APN 4735 Hamilton Ave, San Jose, CA 95130-1769 Ph: (408) 913-1101	Tenisha Edmiston, APN 4735 Hamilton Ave, San Jose, CA 95130-1769 Ph: (408) 913-1101

Reviews and Comments

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Laura J Ohara, R.N., P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2577 Samaritan Drive, Suite 815, San Jose, CA 95124 Phone: 408-358-3573
Julie Dutton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4855 Atherton Ave Ste 101, San Jose, CA 95130 Phone: 408-963-2400 Fax: 408-963-2472
Thu Lan T Pham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5000
Jenney Leem Lam, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Jose Figueres Ave Ste 255, San Jose, CA 95116 Phone: 408-223-7474 Fax: 408-223-9339

Tenisha Edmiston, APN - Medicare Nurse Practitioner in San Jose, CA