Tara Nicolette, DO in Spartanburg, SC - Medicare Infectious Disease

Tara Nicolette, DO is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Spartanburg, South Carolina. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Infectious Disease. She is a member of the group practice Deaconess Clinic Inc, University Of New Mexico Medical Group and her current practice location is 101 E Wood St, Spartanburg, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 560-6806.

Tara Nicolette is licensed to practice in New Mexico (license number DO2022-0140) 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 1942568795.

Contact Information

	Tara Nicolette, DO
	101 E Wood St, Spartanburg, SC 29303-3040
	(864) 560-6806
	(864) 560-7329

Map and Direction

Physician's Profile

Full Name	Tara Nicolette
Gender	Female
Speciality	Infectious Disease
Experience	13 Years
Location	101 E Wood St, Spartanburg, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tara Nicolette graduated from medical school in 2011

NPI Data:

NPI Number: 1942568795
Provider Enumeration Date: 04/30/2012
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 9032410469
Enrollment ID: I20200118000093

Medical Identifiers

Medical identifiers for Tara Nicolette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942568795	NPI	-	NPPES
361932	Medicaid	SC
15322065000171	Medicaid	VA
SCM1003365	Other	SC	MEDICARE PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0116023970 (Virginia)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	02005888A (Indiana)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	36193 (South Carolina)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	DO2022-0140 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Deaconess Hospital Inc	Evansville, IN	Hospital
University Of New Mexico Hospital	Albuquerque, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Clinic Inc	3375610116	337
University Of New Mexico Medical Group	4981795267	1002

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 Nicolette allows following entities to bill medicare on her behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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 Nicolette 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 Nicolette, DO Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304	Tara Nicolette, DO 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-6806

Reviews and Comments

Internal Medicine Doctors in Spartanburg, SC

Dr. Tondre Buck, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800
Adam Evec, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 500, Spartanburg, SC 29303 Phone: 864-560-4304 Fax: 864-560-4023
Larry E Kibler, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227
Dr. Vikas Dembla, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800
Dr. Andrew Omoit Ekatan, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Suite 401, Spartanburg, SC 29303 Phone: 864-560-6654 Fax: 864-560-7353
Stetson Reed Bickley, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644
Dr. Ryan Scott Rhodes, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 843-330-8923

Tara Nicolette, DO - Medicare Infectious Disease in Spartanburg, SC