Keyara J Tabbert, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in New Lisbon, Wisconsin. 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 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 1518670041.
Healthcare Provider's Profile
| Full Name | Keyara J Tabbert |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 304 Bickford St, New Lisbon, Wisconsin |
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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: 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 |
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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