Tula Desha Jefferson, RN is a medicare enrolled "Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities" in Humble, Texas. Her current practice location is
14823 Winston Falls Ln, Humble, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 808-7889.
Tula Desha Jefferson is licensed to practice in * (Not Available) (license number ) 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 1881343713.
Provider's Profile
Full Name | Tula Desha Jefferson |
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Gender | Female |
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Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Location | 14823 Winston Falls Ln, Humble, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881343713
- Provider Enumeration Date: 03/19/2022
- Last Update Date: 07/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133655954
- Enrollment ID: I20241204000317
Medical Identifiers
Medical identifiers for Tula Desha Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881343713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 867767 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1144604 (Texas) | Secondary |
320900000X | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (* (Not Available)) | 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. Tula Desha Jefferson allows following entities to bill medicare on her behalf.
Entity Name | Anderkee |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700643921 PECOS PAC ID: 7315473139 Enrollment ID: O20241204000180 |
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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. Tula Desha Jefferson 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 |
Tula Desha Jefferson, RN 14823 Winston Falls Ln, Humble, TX 77396-6073 Ph: (214) 808-7889 | Tula Desha Jefferson, RN 14823 Winston Falls Ln, Humble, TX 77396-6073 Ph: (214) 808-7889 |
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