Amy L Tatham, PMHNP, BC in Marlton, NJ - Medicare Nurse Practitioner

Amy L Tatham, PMHNP, BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Marlton, New Jersey. Her current practice location is 525 Route 73 North Ste 104, Marlton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (484) 229-4545.

Amy L Tatham is licensed to practice in New Jersey (license number 26NJ00969700) 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 1447896725.

Contact Information

	Amy L Tatham, PMHNP, BC
	525 Route 73 North Ste 104, Marlton, NJ 08053-3008
	(484) 229-4545
	(630) 882-0553

Map and Direction

Provider's Profile

Full Name	Amy L Tatham
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	525 Route 73 North Ste 104, Marlton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447896725
Provider Enumeration Date: 11/21/2019
Last Update Date: 05/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3072985548
Enrollment ID: I20230209000825

Medical Identifiers

Medical identifiers for Amy L Tatham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447896725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AC002993 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ00969700 (New Jersey)	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. Amy L Tatham allows following entities to bill medicare on her behalf.

Entity Name	Regional Womens Health Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548215536 PECOS PAC ID: 2961316328 Enrollment ID: O20040420000034

Entity Name	Linq Care Medical Provider Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427795509 PECOS PAC ID: 4789055443 Enrollment ID: O20230117003150

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. Amy L Tatham 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
Amy L Tatham, PMHNP, BC 20 Pebble Lane, North East, MD 21901-3502 Ph: (856) 287-3847	Amy L Tatham, PMHNP, BC 525 Route 73 North Ste 104, Marlton, NJ 08053-3008 Ph: (484) 229-4545

Reviews and Comments

Nurse Practitioner Nurses in Marlton, NJ

Jacquelyn Regina Zagone, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 800-413-8020
Dorothy Westlake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Rt. 73 North, Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444
Phenita Sammantha Mouzon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 856-818-4020
Mrs. Lisa Spurlock Abrams, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 E Route 70, Building A, Marlton, NJ 08053 Phone: 856-797-4721
Rafia Nicola Grooms, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 70 E Bldg A100, Marlton, NJ 08053 Phone: 856-797-4721 Fax: 856-797-4785
Mrs. Yingqiao Chen, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2003 Lincoln Dr W Ste B, Marlton, NJ 08053 Phone: 856-886-8839 Fax: 856-210-1874
Ms. Fleurdeliz Alabanzas Germodo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Route 70 E Ste B, Marlton, NJ 08053 Phone: 856-596-9057

Amy L Tatham, PMHNP, BC - Medicare Nurse Practitioner in Marlton, NJ