Tara Deitrick, - Medicare Certified Registered Nurse Anesthetist (crna) in Mineola, NY

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Tara Deitrick, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mineola, New York. She graduated from nursing school in 1980 and has 44 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Endoscopy Center Of Long Island Llc and her current practice location is 259 1st St, Mineola, New York. You can reach out to her office (for appointments etc.) via phone at (516) 741-0570.

Tara Deitrick is licensed to practice in New York (license number 9330) 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 1497855704.

Contact Information

Tara Deitrick,
259 1st St,
Mineola, NY 11501-3957
(516) 741-0570
(516) 741-8276

Map and Direction




Provider's Profile

Full NameTara Deitrick
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience44 Years
Location259 1st St, Mineola, New York
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:
  • Tara Deitrick graduated from nursing school in 1980
  NPI Data:
  • NPI Number: 1497855704
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 11/29/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8123200375
  • Enrollment ID: I20110309000041

Medical Identifiers

Medical identifiers for Tara Deitrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497855704NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 9330 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Endoscopy Center Of Long Island Llc266837012323

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. Tara Deitrick allows following entities to bill medicare on her behalf.
Entity NameEndoscopy Center Of Long Island Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770718009
PECOS PAC ID: 2668370123
Enrollment ID: O20090416000311
Entity NameNorth Shore - Lij Anesthesiology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417401266
PECOS PAC ID: 1153602453
Enrollment ID: O20161228001498

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. Tara Deitrick 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
Tara Deitrick,
17 Kenwood Rd,
Garden City, NY 11530-3034

Ph: (516) 248-1420		Tara Deitrick,
259 1st St,
Mineola, NY 11501-3957

Ph: (516) 741-0570

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mineola, NY

Virginia O'connor, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
James Jacob,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Terrence Mcdonough,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Edward Mcdonnell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Elizabeth Lawton, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 110 Willis Ave, Mineola, NY 11501
Phone: 516-294-0030    
Lisa Lynch, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 110 Willis Ave, Mineola, NY 11501
Phone: 516-294-0030    
Susan Fackelman,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    

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.