Tristie Yumul, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chatsworth, California. Her current practice location is
20645 Septo St, Chatsworth, California. You can reach out to her office (for appointments etc.) via phone at
(818) 438-8777.
Tristie Yumul is licensed to practice in California (license number 4284) 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 1497000822.
Provider's Profile
| Full Name | Tristie Yumul |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 20645 Septo St, Chatsworth, 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: 1497000822
- Provider Enumeration Date: 07/23/2012
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507019080
- Enrollment ID: I20130111000369
Medical Identifiers
Medical identifiers for Tristie Yumul such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497000822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 4284 (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. Tristie Yumul allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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| Entity Name | Advanced Anesthesia Specialists A Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871733600
PECOS PAC ID: 0042340705
Enrollment ID: O20100608000088 |
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| Entity Name | Sky Anesthesia Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962050401
PECOS PAC ID: 8426481342
Enrollment ID: O20191207000211 |
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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. Tristie Yumul 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 |
|---|
Tristie Yumul,
20645 Septo St,
Chatsworth, CA 91311-4504
Ph: (818) 438-8777 | Tristie Yumul,
20645 Septo St,
Chatsworth, CA 91311-4504
Ph: (818) 438-8777 |
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