Tara M Maclean, APNP is a medicare enrolled "Nurse Practitioner" physician in Appleton, Wisconsin. Her current practice location is
3925 N Gateway Dr, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 225-1467.
Tara M Maclean is licensed to practice in Wisconsin (license number 13125-33) 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 1073234118.
Physician's Profile
Full Name | Tara M Maclean |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 3925 N Gateway Dr, Appleton, Wisconsin |
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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: 1073234118
- Provider Enumeration Date: 09/07/2022
- Last Update Date: 06/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476921701
- Enrollment ID: I20221117002266
Medical Identifiers
Medical identifiers for Tara M Maclean such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073234118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 13125-33 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 13125-33 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 13125-33 (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. Tara M Maclean allows following entities to bill medicare on her behalf.
Entity Name | Prevea Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
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Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
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Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
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Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
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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. Tara M Maclean 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 M Maclean, APNP 114 Klompen Ct, Neenah, WI 54956-4341 Ph: (920) 901-0151 | Tara M Maclean, APNP 3925 N Gateway Dr, Appleton, WI 54913-7863 Ph: (920) 225-1467 |
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