Tenley Maris Spatz, is a medicare enrolled "Midwife" in Oakland, California. Her current practice location is
8480 Enterprise Way, Oakland, California. You can reach out to her office (for appointments etc.) via phone at
(510) 746-4700.
Tenley Maris Spatz is licensed to practice in California (license number 235957) 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 1891251054.
Provider's Profile
| Full Name | Tenley Maris Spatz |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 8480 Enterprise Way, Oakland, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891251054
- Provider Enumeration Date: 02/13/2019
- Last Update Date: 02/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 9638410822
- Enrollment ID: I20190417000775
Medical Identifiers
Medical identifiers for Tenley Maris Spatz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891251054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 95009127 (California) | Secondary |
| 176B00000X | Midwife | 235957 (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. Tenley Maris Spatz allows following entities to bill medicare on her behalf.
| Entity Name | La Clinica De La Raza Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144336181
PECOS PAC ID: 1557258282
Enrollment ID: O20040227001016 |
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| Entity Name | Planned Parenthood Mar Monte Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174579957
PECOS PAC ID: 1456248954
Enrollment ID: O20040301000438 |
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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. Tenley Maris Spatz 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 |
|---|
Tenley Maris Spatz,
1691 The Alameda,
San Jose, CA 95126-2203
Ph: () - | Tenley Maris Spatz,
8480 Enterprise Way,
Oakland, CA 94621-1318
Ph: (510) 746-4700 |
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