Dr Tarra Faulk, DO - Medicare Nephrology in Jbsa Ft Sam Houston, TX

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Dr Tarra Faulk, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Jbsa Ft Sam Houston, Texas. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice San Antonio Kidney Disease Center Physicians Group, P.l.l.c. and her current practice location is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 916-1455.

Dr Tarra Faulk is licensed to practice in Georgia (license number 67125) 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 1467765370.

Contact Information

Dr Tarra Faulk, DO
3551 Roger Brooke Dr,
Jbsa Ft Sam Houston, TX 78234-4504
(210) 916-1455
Not Available

Map and Direction




Physician's Profile

Full NameDr Tarra Faulk
GenderFemale
SpecialityNephrology
Experience16 Years
Location3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tarra Faulk attended and graduated from Philadelphia College Of Osteopathic Medicine in 2010
  NPI Data:
  • NPI Number: 1467765370
  • Provider Enumeration Date: 07/20/2010
  • Last Update Date: 05/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547576985
  • Enrollment ID: I20220420000322

Medical Identifiers

Medical identifiers for Dr Tarra Faulk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467765370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 67125 (Georgia)Secondary
207RN0300XInternal Medicine - Nephrology 67125 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Hospital Stone OakSan antonio, TXHospital
Baptist Medical CenterSan antonio, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
San Antonio Kidney Disease Center Physicians Group, P.l.l.c.266838474431

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 Tarra Faulk allows following entities to bill medicare on her behalf.
Entity NameSan Antonio Kidney Disease Center Physicians Group, P.l.l.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356325922
PECOS PAC ID: 2668384744
Enrollment ID: O20031105000750
Entity NameThe University Of Texas Health Science Center At San Antonio
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720051717
PECOS PAC ID: 0042128548
Enrollment ID: O20040607000664

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 Tarra Faulk 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 AddressPractice Location Address
Dr Tarra Faulk, DO
101 Bodin Cir, 60 Mdos Sgomk/nephrology,
Travis Afb, CA 94535-1809

Ph: (707) 816-5930		Dr Tarra Faulk, DO
3551 Roger Brooke Dr,
Jbsa Ft Sam Houston, TX 78234-4504

Ph: (210) 916-1455

Reviews and Comments


Internal Medicine Doctors in Jbsa Ft Sam Houston, TX

Dr. John-henry Dean, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234
Phone: 210-292-7805    Fax: 210-292-7868
Dr. David Alton Lindholm, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234
Phone: 210-916-5554    
Kristin E Stoll, DO
Nephrology
Medicare: Medicare Enrolled
Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234
Phone: 210-916-4808    Fax: 210-916-3366
Ashkon Nehzati, DO
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234
Phone: 210-916-0797    
Dr. Sanghwa E Park, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234
Phone: 210-916-9900    
Scott Edelson,
Nephrology
Medicare: Medicare Enrolled
Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234
Phone: 210-916-5910    Fax: 210-916-2077
Dr. Dylan Douglas Walker, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234
Phone: 210-292-7805    Fax: 210-292-7868

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.