Tia Evenson, APRN in Oakland, CA - Medicare Nurse Practitioner

Tia Evenson, APRN is a medicare enrolled "Nurse Practitioner" in Oakland, California. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carbon Health Primary Care Of California Pc and her current practice location is 1955 Broadway Ste A, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (888) 663-6331.

Tia Evenson is licensed to practice in California (license number 95026529) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972100766.

Contact Information

	Tia Evenson, APRN
	1955 Broadway Ste A, Oakland, CA 94612-2205
	(888) 663-6331
	(415) 252-7176

Map and Direction

Provider's Profile

Full Name	Tia Evenson
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1955 Broadway Ste A, Oakland, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tia Evenson graduated from nursing school in 2020

NPI Data:

NPI Number: 1972100766
Provider Enumeration Date: 10/05/2020
Last Update Date: 07/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6002235280
Enrollment ID: I20231213003095

Medical Identifiers

Medical identifiers for Tia Evenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972100766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95026529 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carbon Health Primary Care Of California Pc	8628350626	28

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. Tia Evenson allows following entities to bill medicare on her behalf.

Entity Name	Carbon Health Primary Care Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972057990 PECOS PAC ID: 8628350626 Enrollment ID: O20170127001216

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. Tia Evenson 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
Tia Evenson, APRN 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: (415) 658-6791	Tia Evenson, APRN 1955 Broadway Ste A, Oakland, CA 94612-2205 Ph: (888) 663-6331

Reviews and Comments

Nurse Practitioner Nurses in Oakland, CA

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Mrs. Michelle Annette Harris-miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3025 High St, Oakland, CA 94619 Phone: 510-261-5200
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Mr. Keith M. Thibault, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Colleen Mccullough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2950 International Blvd, Oakland, CA 94601 Phone: 510-535-4400

Tia Evenson, APRN - Medicare Nurse Practitioner in Oakland, CA