Tara Sue Vangundy, CFNP in Centerville, OH - Medicare Nurse Practitioner

Tara Sue Vangundy, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Centerville, Ohio. She went to University Of Cincinnati College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Comprehensive Geriatric Care, Llc and her current practice location is 7073 Clyo Rd, Centerville, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 435-5857.

Tara Sue Vangundy is licensed to practice in Ohio (license number COA13396) 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 1295080851.

Contact Information

	Tara Sue Vangundy, CFNP
	7073 Clyo Rd, Centerville, OH 45459-4816
	(937) 435-5857
	(937) 912-4960

Map and Direction

Provider's Profile

Full Name	Tara Sue Vangundy
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	7073 Clyo Rd, Centerville, Ohio
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 Sue Vangundy attended and graduated from University Of Cincinnati College Of Medicine in 2012

NPI Data:

NPI Number: 1295080851
Provider Enumeration Date: 07/19/2012
Last Update Date: 11/05/2013

Medicare PECOS Information:

PECOS PAC ID: 1052567302
Enrollment ID: I20120802000249

Medical Identifiers

Medical identifiers for Tara Sue Vangundy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295080851	NPI	-	NPPES
0068897	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	COA13396 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Comprehensive Geriatric Care, Llc	3476642901	10

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 Sue Vangundy allows following entities to bill medicare on her behalf.

Entity Name	Valley Medical Primary Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528127610 PECOS PAC ID: 0840284345 Enrollment ID: O20040408000888

Entity Name	Comprehensive Geriatric Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598945230 PECOS PAC ID: 3476642901 Enrollment ID: O20071205000420

Entity Name	Kav Health Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891332946 PECOS PAC ID: 2466806864 Enrollment ID: O20231003002051

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 Sue Vangundy 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 Sue Vangundy, CFNP 7073 Clyo Rd, Centerville, OH 45459-4816 Ph: (937) 435-5857	Tara Sue Vangundy, CFNP 7073 Clyo Rd, Centerville, OH 45459-4816 Ph: (937) 435-5857

Reviews and Comments

Nurse Practitioner Nurses in Centerville, OH

Brittany Renee Montgomery, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5400 Cornerstone North Blvd, Centerville, OH 45440 Phone: 937-528-7070
Mr. Benjamin Daniel Malcolm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 S Main St, Centerville, OH 45458 Phone: 937-439-8622
Heather Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-438-2400
Eric Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd, Centerville, OH 45459 Phone: 937-208-8282
Terri M Caputo-jones, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 N Main St, Centerville, OH 45459 Phone: 937-435-1445 Fax: 937-439-7552
Alysha Weeter, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 217 Amber Dr, Centerville, OH 45458 Phone: 937-510-4075
Marie Middleton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7740 Washington Village Dr, Ste 120, Centerville, OH 45459 Phone: 937-439-7411 Fax: 937-433-8030

Tara Sue Vangundy, CFNP - Medicare Nurse Practitioner in Centerville, OH