Tisa Reid, APRN in Jacksonville, FL - Medicare Nurse Practitioner

Tisa Reid, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. 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 University Of Florida Jacksonville Physicians, Inc. and her current practice location is 2484 Eisner Dr, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 881-3125.

Tisa Reid is licensed to practice in Florida (license number 11008385) 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 1164031894.

Contact Information

	Tisa Reid, APRN
	2484 Eisner Dr, Jacksonville, FL 32218-8837
	(904) 881-3125
	Not Available

Map and Direction

Provider's Profile

Full Name	Tisa Reid
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	2484 Eisner Dr, Jacksonville, Florida
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:

Tisa Reid graduated from nursing school in 2020

NPI Data:

NPI Number: 1164031894
Provider Enumeration Date: 07/28/2020
Last Update Date: 01/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1456740638
Enrollment ID: I20211109001353

Medical Identifiers

Medical identifiers for Tisa Reid such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164031894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11008385 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shands Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Florida Jacksonville Physicians, Inc.	9133025869	665

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. Tisa Reid allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326208695 PECOS PAC ID: 9133025869 Enrollment ID: O20040204000616

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487814752 PECOS PAC ID: 9133025869 Enrollment ID: O20050414000212

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. Tisa Reid 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
Tisa Reid, APRN 1255 Lila St, Jacksonville, FL 32208-3550 Ph: (904) 383-1001	Tisa Reid, APRN 2484 Eisner Dr, Jacksonville, FL 32218-8837 Ph: (904) 881-3125

Reviews and Comments

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Tisa Reid, APRN - Medicare Nurse Practitioner in Jacksonville, FL