Tara L Johnson, FNP in Moline, IL - Medicare Nurse Practitioner

Tara L Johnson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Moline, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Trinity Medical Center, Trinity Medical Center and her current practice location is 1100 36th Ave, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 743-6700.

Tara L Johnson is licensed to practice in Iowa (license number 108072) 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 1194261479.

Contact Information

	Tara L Johnson, FNP
	1100 36th Ave, Moline, IL 61265-7127
	(309) 743-6700
	(309) 764-2042

Map and Direction

Provider's Profile

Full Name	Tara L Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1100 36th Ave, Moline, Illinois
Accepts Medicare Assignments	Yes. 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 L Johnson graduated from nursing school in 2016

NPI Data:

NPI Number: 1194261479
Provider Enumeration Date: 01/11/2017
Last Update Date: 02/11/2021

Medicare PECOS Information:

PECOS PAC ID: 5597049379
Enrollment ID: I20170222000997

Medical Identifiers

Medical identifiers for Tara L Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194261479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209015676 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	108072 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Trinity - Rock Island	Rock island, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trinity Medical Center	2264337518	93
Trinity Medical Center	2264337518	93

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 L Johnson allows following entities to bill medicare on her behalf.

Entity Name	Trinity Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033163829 PECOS PAC ID: 2264337518 Enrollment ID: O20040217000414

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 L Johnson 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
Tara L Johnson, FNP 1236 E Rusholme St Ste 300, Davenport, IA 52803-2473 Ph: (563) 324-2992	Tara L Johnson, FNP 1100 36th Ave, Moline, IL 61265-7127 Ph: (309) 743-6700

Reviews and Comments

Nurse Practitioner Nurses in Moline, IL

Cara R Brown, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Ave, Moline, IL 61265 Phone: 309-743-6700
Mary Kathleen Skafidas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 30th Ave Ste 12, Moline, IL 61265 Phone: 309-762-5513
Courtney Beth Legendre, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 545 Valley View Drive, Moline, IL 61265 Phone: 309-762-5560 Fax: 309-762-7351
Cari Waterkotte, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 545 Valley View Dr, Moline, IL 61265 Phone: 309-762-5560 Fax: 309-277-1191
Emily Schadt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4376 7th St, Moline, IL 61265 Phone: 309-762-0777 Fax: 309-762-0077
Kristen Olin, DNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 7th St, Moline, IL 61265 Phone: 563-762-9800
Mrs. Megan Elizabeth Pikuza, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 John Deere Rd Ste 102, Moline, IL 61265 Phone: 309-779-4940

Tara L Johnson, FNP - Medicare Nurse Practitioner in Moline, IL