David Thomas Tackett, APRN in Edgewood, KY - Medicare Nurse Practitioner

David Thomas Tackett, APRN is a medicare enrolled "Nurse Practitioner" in Edgewood, Kentucky. He went to University Of Cincinnati College Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Summit Medical Group, Inc and his current practice location is 20 Medical Village Dr, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 578-5880.

David Thomas Tackett is licensed to practice in Kentucky (license number 1136773) 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 1043821085.

Contact Information

	David Thomas Tackett, APRN
	20 Medical Village Dr, Edgewood, KY 41017-5401
	(859) 578-5880
	(859) 578-5881

Map and Direction

Provider's Profile

Full Name	David Thomas Tackett
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	20 Medical Village Dr, Edgewood, Kentucky
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:

David Thomas Tackett attended and graduated from University Of Cincinnati College Of Medicine in 2020

NPI Data:

NPI Number: 1043821085
Provider Enumeration Date: 08/13/2020
Last Update Date: 08/13/2020

Medicare PECOS Information:

PECOS PAC ID: 0648699264
Enrollment ID: I20201001001103

Medical Identifiers

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

Identifier	Type	State	Issuer
1043821085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1136773 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Elizabeth Edgewood	Edgewood, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Medical Group, Inc	2163326240	693

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. David Thomas Tackett allows following entities to bill medicare on his behalf.

Entity Name	Summit Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881026169 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738

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. David Thomas 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
David Thomas Tackett, APRN Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 578-5880	David Thomas Tackett, APRN 20 Medical Village Dr, Edgewood, KY 41017-5401 Ph: (859) 578-5880

Reviews and Comments

Nurse Practitioner Nurses in Edgewood, KY

Deborah Elaine Bliss, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, St. Elizabeth Healthcare, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-301-6900
Lyndsey Lang, MS, RN, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2423 Fax: 859-301-2554
Mrs. Anita Kay Phillips, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945
Kristin Legrand, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2250
Louise M Cortland, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-757-2927 Fax: 859-341-0203
Alexandra Michelle Wiesner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-426-4140
Deanna Lynne Winter, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Medical Village Drive, Edgewood, KY 41017 Phone: 859-331-3353 Fax: 859-331-3326

David Thomas Tackett, APRN - Medicare Nurse Practitioner in Edgewood, KY