Tara Meredith, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Leitchfield, Kentucky. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain Management Group Llc and her current practice location is
718 Goodwin Ln, Leitchfield, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(731) 394-1145.
Tara Meredith is licensed to practice in Kentucky (license number 3014335) 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 1215560677.
Physician's Profile
| Full Name | Tara Meredith |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 718 Goodwin Ln, Leitchfield, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tara Meredith graduated from medical school in 2019
NPI Data:
- NPI Number: 1215560677
- Provider Enumeration Date: 02/13/2020
- Last Update Date: 07/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 3870917313
- Enrollment ID: I20200716003873
Medical Identifiers
Medical identifiers for Tara Meredith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215560677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 3014335 (Kentucky) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 3014335 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3014335 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pain Management Group Llc | 0143453670 | 37 |
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 Meredith allows following entities to bill medicare on her behalf.
| Entity Name | Baptist Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740586213
PECOS PAC ID: 5597867184
Enrollment ID: O20070228000503 |
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| Entity Name | Pain Management Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063831303
PECOS PAC ID: 0143453670
Enrollment ID: O20140507000797 |
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| Entity Name | Ack Healthcare Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154748986
PECOS PAC ID: 3072736602
Enrollment ID: O20140528001695 |
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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 Meredith 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 Meredith, APRN
36 Pemberton Cv,
Jackson, TN 38305-5514
Ph: (731) 394-1145 | Tara Meredith, APRN
718 Goodwin Ln,
Leitchfield, KY 42754-1400
Ph: (731) 394-1145 |
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