Martha Anne Tack, FNP in Willmar, MN - Medicare Nurse Practitioner

Martha Anne Tack, FNP is a medicare enrolled "Nurse Practitioner - Family" in Willmar, Minnesota. Her current practice location is 1804 Trott Ave Sw, Willmar, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 214-7286.

Martha Anne Tack is licensed to practice in Minnesota (license number 11149) 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 1346019445.

Contact Information

	Martha Anne Tack, FNP
	1804 Trott Ave Sw, Willmar, MN 56201-2743
	(320) 214-7286
	Not Available

Map and Direction

Provider's Profile

Full Name	Martha Anne Tack
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1804 Trott Ave Sw, Willmar, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346019445
Provider Enumeration Date: 12/29/2023
Last Update Date: 12/29/2023

Medicare PECOS Information:

PECOS PAC ID: 2365880440
Enrollment ID: I20240409002252

Medical Identifiers

Medical identifiers for Martha Anne Tack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346019445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11149 (Minnesota)	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. Martha Anne Tack allows following entities to bill medicare on her behalf.

Entity Name	Community Health Service Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316921406 PECOS PAC ID: 4486930195 Enrollment ID: O20171025003383

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200116002549

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. Martha Anne Tack 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
Martha Anne Tack, FNP 1804 Trott Ave Sw, Willmar, MN 56201-2743 Ph: (320) 214-7286	Martha Anne Tack, FNP 1804 Trott Ave Sw, Willmar, MN 56201-2743 Ph: (320) 214-7286

Reviews and Comments

Nurse Practitioner Nurses in Willmar, MN

Lucy R Brink, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1804 Trott Ave Sw, Willmar, MN 56201 Phone: 320-214-7286 Fax: 320-214-7223
Jolene Schlegel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw Ste 1, Willmar, MN 56201 Phone: 320-235-7232 Fax: 320-231-8602
Janaya Jean Marie Evenson, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4399
Kristin Michelle Pomplun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2720
Jeffery Ja Enstad, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067
Michelle A Gerow-ellis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-6323
Ms. Daniele J Welvaert, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1037 19th Ave Sw, Willmar, MN 56201 Phone: 320-214-1100 Fax: 320-214-1155

Martha Anne Tack, FNP - Medicare Nurse Practitioner in Willmar, MN