Tarah Burcham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Jonesboro, Arkansas. Her current practice location is
225 E Jackson Ave, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 932-4211.
Tarah Burcham is licensed to practice in Arkansas (license number C001531) 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 1184646218.
Physician's Profile
| Full Name | Tarah Burcham |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 225 E Jackson Ave, Jonesboro, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184646218
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 06/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648207787
- Enrollment ID: I20050720001001
Medical Identifiers
Medical identifiers for Tarah Burcham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184646218 | NPI | - | NPPES |
| 5Y405C702 | Other | AR | MEDICARE |
| 158116001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | C01531 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C001531 (Arkansas) | 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. Tarah Burcham allows following entities to bill medicare on her behalf.
| Entity Name | Jonesboro Anesthesia Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043228448
PECOS PAC ID: 6709798077
Enrollment ID: O20031104000602 |
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| Entity Name | Southern Eye Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669486528
PECOS PAC ID: 4688576739
Enrollment ID: O20040121000334 |
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| Entity Name | Jonesboro Anesthesia Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811368327
PECOS PAC ID: 2567762735
Enrollment ID: O20151120000910 |
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| Entity Name | Lifelinc Anesthesia V, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063907244
PECOS PAC ID: 8921359712
Enrollment ID: O20180918001267 |
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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. Tarah Burcham 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 |
|---|
Tarah Burcham, CRNA
505 E Matthews Suite 303,
Jonesboro, AR 72401
Ph: (870) 932-4211 | Tarah Burcham, CRNA
225 E Jackson Ave,
Jonesboro, AR 72401-3119
Ph: (870) 932-4211 |
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