Ayrowyn Tanner, CRNP is a medicare enrolled "Nurse Practitioner - Family" physician in Baltimore, Maryland. Her current practice location is
707 N Broadway, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 923-2757.
Ayrowyn Tanner is licensed to practice in Utah (license number 10484809-4405) 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 1871199026.
Physician's Profile
| Full Name | Ayrowyn Tanner |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 707 N Broadway, Baltimore, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871199026
- Provider Enumeration Date: 12/11/2020
- Last Update Date: 12/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284029505
- Enrollment ID: I20240530001848
Medical Identifiers
Medical identifiers for Ayrowyn Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871199026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | R235108 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10484809-4405 (Utah) | 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. Ayrowyn Tanner allows following entities to bill medicare on her behalf.
| Entity Name | University Of Utah Pediatric Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
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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. Ayrowyn Tanner 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 |
Ayrowyn Tanner, CRNP 707 N Broadway, Baltimore, MD 21205-1832 Ph: (443) 923-2757 | Ayrowyn Tanner, CRNP 707 N Broadway, Baltimore, MD 21205-1832 Ph: (443) 923-2757 |
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