Benjamin Tackett, FNP in Logan, WV - Medicare Nurse Practitioner

Benjamin Tackett, FNP is a medicare enrolled "Nurse Practitioner - Family" in Logan, West Virginia. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Logan General Hospital Llc and his current practice location is 140 Stollings Ave Ste 1, Logan, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 752-2555.

Benjamin Tackett is licensed to practice in West Virginia (license number 66717) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265959704.

Contact Information

	Benjamin Tackett, FNP
	140 Stollings Ave Ste 1, Logan, WV 25601-4035
	(304) 752-2555
	Not Available

Map and Direction

Provider's Profile

Full Name	Benjamin Tackett
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	140 Stollings Ave Ste 1, Logan, West Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Benjamin Tackett graduated from nursing school in 2017

NPI Data:

NPI Number: 1265959704
Provider Enumeration Date: 08/25/2017
Last Update Date: 08/25/2017

Medicare PECOS Information:

PECOS PAC ID: 5991063406
Enrollment ID: I20171211000471

Medical Identifiers

Medical identifiers for Benjamin Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265959704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	66717 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Logan Regional Medical Center	Logan, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Logan General Hospital Llc	9537078977	24

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. Benjamin Tackett allows following entities to bill medicare on his behalf.

Entity Name	Logan General Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720032105 PECOS PAC ID: 9537078977 Enrollment ID: O20031217001124

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. Benjamin Tackett 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
Benjamin Tackett, FNP 140 Stollings Ave Ste 1, Logan, WV 25601-4035 Ph: () -	Benjamin Tackett, FNP 140 Stollings Ave Ste 1, Logan, WV 25601-4035 Ph: (304) 752-2555

Reviews and Comments

Nurse Practitioner Nurses in Logan, WV

Timothy M Reed, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1188
Mrs. Amber Ellis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Stollings Ave, Suite 3, Logan, WV 25601 Phone: 304-752-4594
Jenna Marie Hager, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 Hospital Dr, Logan, WV 25601 Phone: 304-896-5200 Fax: 304-896-5300
William Ray Watkins Jr., RN, MSN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 Hanging Rock Hwy, Logan, WV 25601 Phone: 304-784-5404
Takara Leeann Muncy, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 174 Lmah Center Rd, Logan, WV 25601 Phone: 304-792-7130 Fax: 304-792-7146
Mr. Printess John Lawrence, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Prosperity Lane, Suite 100, Logan, WV 25601 Phone: 304-831-0073 Fax: 304-831-0471
Patsy Eugenie Stoots, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1101

Benjamin Tackett, FNP - Medicare Nurse Practitioner in Logan, WV