Tychelle Allen, NP-C in San Diego, CA - Medicare Nurse Practitioner

Tychelle Allen, NP-C is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 4829 Clairemont Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 273-5390.

Tychelle Allen is licensed to practice in California (license number 95006934) 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 1134648595.

Contact Information

	Tychelle Allen, NP-C
	4829 Clairemont Dr, San Diego, CA 92117-2706
	(858) 273-5390
	Not Available

Map and Direction

Provider's Profile

Full Name	Tychelle Allen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4829 Clairemont Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134648595
Provider Enumeration Date: 09/16/2017
Last Update Date: 08/03/2022

Medicare PECOS Information:

PECOS PAC ID: 0547527798
Enrollment ID: I20171127002192

Medical Identifiers

Medical identifiers for Tychelle Allen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134648595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95006934 (California)	Primary
207Q00000X	Family Medicine	95006935 (California)	Secondary

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. Tychelle Allen allows following entities to bill medicare on her behalf.

Entity Name	Diablo Nephrology Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194734731 PECOS PAC ID: 2365420965 Enrollment ID: O20040709001347

Entity Name	Dignity Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336588870 PECOS PAC ID: 2062320559 Enrollment ID: O20081223000427

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. Tychelle Allen 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
Tychelle Allen, NP-C 4829 Clairemont Dr, San Diego, CA 92117-2706 Ph: () -	Tychelle Allen, NP-C 4829 Clairemont Dr, San Diego, CA 92117-2706 Ph: (858) 273-5390

Reviews and Comments

Nurse Practitioner Nurses in San Diego, CA

Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910
Susan Kermoian Yaszay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Gateway Center Way, San Diego, CA 92102 Phone: 619-515-2300 Fax: 619-232-1360
Dale Michael Trujillo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Tychelle Allen, NP-C - Medicare Nurse Practitioner in San Diego, CA