Tara Lorzing-wilmoth, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Rensselaer, New York. Her current practice location is
279 Troy Rd, Rensselaer, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 286-1922.
Tara Lorzing-wilmoth is licensed to practice in New York (license number 354145) 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 1639906548.
Physician's Profile
| Full Name | Tara Lorzing-wilmoth |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 279 Troy Rd, Rensselaer, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1639906548
- Provider Enumeration Date: 09/16/2024
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274061544
- Enrollment ID: I20250114003205
Medical Identifiers
Medical identifiers for Tara Lorzing-wilmoth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639906548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | F354145-01 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 354145 (New York) | 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. Tara Lorzing-wilmoth allows following entities to bill medicare on her behalf.
| Entity Name | Samaritan Hospital Of Troy, New York |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043267727
PECOS PAC ID: 6507770070
Enrollment ID: O20031118000782 |
|---|
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. Tara Lorzing-wilmoth 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 |
|---|
Tara Lorzing-wilmoth, FNP-BC
Po Box 14890,
Albany, NY 12212-4890
Ph: (518) 525-5634 | Tara Lorzing-wilmoth, FNP-BC
279 Troy Rd,
Rensselaer, NY 12144-9518
Ph: (518) 286-1922 |
Reviews and Comments