Tara L Fleck, LMLP is a medicare enrolled "Psychologist - Clinical" provider in Pittsburg, Kansas. Her current practice location is
2711 S Rouse St Ste C&d, Pittsburg, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 231-1068.
Tara L Fleck is licensed to practice in Kansas (license number 1303) 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 1225275035.
Healthcare Provider's Profile
| Full Name | Tara L Fleck |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2711 S Rouse St Ste C&d, Pittsburg, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225275035
- Provider Enumeration Date: 01/15/2009
- Last Update Date: 06/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 2961939129
- Enrollment ID: I20241230001474
Medical Identifiers
Medical identifiers for Tara L Fleck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225275035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 1242 (Kansas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1303 (Kansas) | Primary |
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 Fleck allows following entities to bill medicare on her behalf.
| Entity Name | Crawford County Mental Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942064423
PECOS PAC ID: 3072955616
Enrollment ID: O20240528001918 |
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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 Fleck 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 |
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Tara L Fleck, LMLP
2711 S Rouse St Ste C&d,
Pittsburg, KS 66762-6620
Ph: (620) 231-1068 | Tara L Fleck, LMLP
2711 S Rouse St Ste C&d,
Pittsburg, KS 66762-6620
Ph: (620) 231-1068 |
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