Keyara J Tabbert, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in New Lisbon, Wisconsin. She graduated from healthcare school in 2022 and has 3 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Gundersen Clinic Ltd and her current practice location is
304 Bickford St, New Lisbon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 562-3976.
Keyara J Tabbert is licensed to practice in Wisconsin (license number 2224-124) 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 1518670041.
Healthcare Provider's Profile
| Full Name | Keyara J Tabbert |
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| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 3 Years |
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| Location | 304 Bickford St, New Lisbon, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Keyara J Tabbert graduated from medical school in 2022
NPI Data:
- NPI Number: 1518670041
- Provider Enumeration Date: 12/29/2022
- Last Update Date: 05/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911425558
- Enrollment ID: I20250516002182
Medical Identifiers
Medical identifiers for Keyara J Tabbert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518670041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 2224-124 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gundersen Clinic Ltd | 9638082779 | 345 |
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. Keyara J Tabbert allows following entities to bill medicare on her behalf.
| Entity Name | Gundersen Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139 |
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| Entity Name | Gundersen Lutheran Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225873458
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254 |
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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. Keyara J Tabbert 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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Keyara J Tabbert, LMFT
W10174 29th St,
Camp Douglas, WI 54618-9709
Ph: (608) 344-0053 | Keyara J Tabbert, LMFT
304 Bickford St,
New Lisbon, WI 53950-1533
Ph: (608) 562-3976 |
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