Mrs Joan Lavonne Tackett, APN - Medicare Nurse Practitioner in Greensboro, NC

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Mrs Joan Lavonne Tackett, APN is a medicare enrolled "Nurse Practitioner - Family" in Greensboro, North Carolina. Her current practice location is 1007 Summit Ave, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 200-7010.

Mrs Joan Lavonne Tackett is licensed to practice in North Carolina (license number 5016176) 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 1154697829.

Contact Information

Mrs Joan Lavonne Tackett, APN
1007 Summit Ave,
Greensboro, NC 27405-7007
(336) 200-7010
Not Available

Map and Direction




Provider's Profile

Full NameMrs Joan Lavonne Tackett
GenderFemale
SpecialityNurse Practitioner - Family
Location1007 Summit Ave, Greensboro, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154697829
  • Provider Enumeration Date: 03/28/2012
  • Last Update Date: 03/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830353762
  • Enrollment ID: I20220630003079

Medical Identifiers

Medical identifiers for Mrs Joan Lavonne Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154697829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A03553ANP (Arkansas)Secondary
363LF0000XNurse Practitioner - Family 5016176 (North Carolina)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. Mrs Joan Lavonne Tackett allows following entities to bill medicare on her behalf.
Entity NameEventus Wholehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20181030001281
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191001003503
Entity NameEventus Value Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013680503
PECOS PAC ID: 1254736986
Enrollment ID: O20210818003793
Entity NameEventus Wholehealth Aco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023796307
PECOS PAC ID: 8921469651
Enrollment ID: O20230727003681
Entity NameEventus Wh Southeast, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487494811
PECOS PAC ID: 5496294456
Enrollment ID: O20240822002165

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. Mrs Joan Lavonne 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 AddressPractice Location Address
Mrs Joan Lavonne Tackett, APN
Po Box 746724,
Atlanta, GA 30374-6724

Ph: (312) 733-9730		Mrs Joan Lavonne Tackett, APN
1007 Summit Ave,
Greensboro, NC 27405-7007

Ph: (336) 200-7010

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.