Dr Tarah Leanne Castleberry, DO is a medicare enrolled "Family Medicine" physician in Monte Vista, Colorado. Her current practice location is
1033 2nd Ave, Monte Vista, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 852-8827.
Dr Tarah Leanne Castleberry is licensed to practice in Colorado (license number DR.0067875) 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 1154346252.
Physician's Profile
| Full Name | Dr Tarah Leanne Castleberry |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1033 2nd Ave, Monte Vista, Colorado |
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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: 1154346252
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 08/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476607540
- Enrollment ID: I20120730000435
Medical Identifiers
Medical identifiers for Dr Tarah Leanne Castleberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154346252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 4694 (Arizona) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 0102201093 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | DR.0067875 (Colorado) | 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. Dr Tarah Leanne Castleberry allows following entities to bill medicare on her behalf.
| Entity Name | Utmb Faculty Group Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
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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. Dr Tarah Leanne Castleberry 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 |
Dr Tarah Leanne Castleberry, DO 310 County Road 14, Del Norte, CO 81132-8758 Ph: (719) 657-2510 | Dr Tarah Leanne Castleberry, DO 1033 2nd Ave, Monte Vista, CO 81144-1737 Ph: (719) 852-8827 |
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