Cathy Sue Tackett, APRN - Medicare Nurse Practitioner in South Shore, KY

Cathy Sue Tackett, APRN is a medicare enrolled "Nurse Practitioner - Family" in South Shore, Kentucky. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lewis County Primary Care Center Inc and her current practice location is 142 Depot Dr, South Shore, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 932-2271.

Cathy Sue Tackett is licensed to practice in Kentucky (license number 3007355) 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 1912130048.

Contact Information

Cathy Sue Tackett, APRN
142 Depot Dr,
South Shore, KY 41175
(606) 932-2271
(606) 932-2273

Map and Direction




Provider's Profile

Full NameCathy Sue Tackett
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location142 Depot Dr, South Shore, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cathy Sue Tackett graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1912130048
  • Provider Enumeration Date: 08/24/2009
  • Last Update Date: 03/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7315084795
  • Enrollment ID: I20111229000677

Medical Identifiers

Medical identifiers for Cathy Sue Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912130048NPI-NPPES
3014811MedicaidOH
7100086830MedicaidKY
3810021969MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3007355 (Kentucky)Primary
363LF0000XNurse Practitioner - Family 1083-NP (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Ohio Medical CenterPortsmouth, OHHospital
King's Daughters' Medical CenterAshland, KYHospital
Kings Daughters Medical Center OhioPortsmouth, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lewis County Primary Care Center Inc115331177477

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. Cathy Sue Tackett allows following entities to bill medicare on her behalf.
Entity NameLewis County Primary Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457303802
PECOS PAC ID: 1153311774
Enrollment ID: O20040515000278

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. Cathy Sue Tackett 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 AddressPractice Location Address
Cathy Sue Tackett, APRN
Po Box 550,
Vanceburg, KY 41179-0550

Ph: (606) 796-3029
Cathy Sue Tackett, APRN
142 Depot Dr,
South Shore, KY 41175

Ph: (606) 932-2271

Reviews and Comments


Nurse Practitioner Nurses in South Shore, KY

Danielle Arthur, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 142 Depot Dr, South Shore, KY 41175
Phone: 606-932-2271    Fax: 740-356-6387
Cindi Michelle Bradley, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 23 Indianola Ave, South Shore, KY 41175
Phone: 606-932-3159    Fax: 606-932-6896
Rachel M Hudson, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 137 State Route 3117, South Shore, KY 41175
Phone: 606-932-2079    Fax: 606-932-2313
Lora Stone, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5129 State Route 7, South Shore, KY 41175
Phone: 606-465-5866    
Mr. William Andrew Ruggles, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 137 State Route 3117, South Shore, KY 41175
Phone: 606-932-2079    Fax: 606-932-2313
Mrs. Debra Dee Munn, APRN-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 481 James E. Hannah Drive, South Shore, KY 41175
Phone: 606-932-4334    
James Lee Ryan, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 142 Depot Drive, South Shore, KY 41175
Phone: 606-932-2271    Fax: 606-932-2273

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.