Mrs Tamara K Connor, CRNP-FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Glenmoore, Pennsylvania. Her current practice location is
33 Meadow Creek Ln, Glenmoore, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 368-7430.
Mrs Tamara K Connor is licensed to practice in Delaware (license number LG-0012371) 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 1245776376.
Provider's Profile
| Full Name | Mrs Tamara K Connor |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 33 Meadow Creek Ln, Glenmoore, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245776376
- Provider Enumeration Date: 01/12/2017
- Last Update Date: 07/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517241581
- Enrollment ID: I20170313000855
Medical Identifiers
Medical identifiers for Mrs Tamara K Connor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245776376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | L1-0071757 (Delaware) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP016924 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R137407 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP016424 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | LG-0012371 (Delaware) | 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 Tamara K Connor allows following entities to bill medicare on her behalf.
| Entity Name | Joel S Goldberg |
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| Entity Type | Practitioner - General Practice |
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| Entity Identifiers | NPI Number: 1699714402
PECOS PAC ID: 4486544632
Enrollment ID: I20040319000406 |
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| Entity Name | Pennsylvania Urgent Care Centers, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902128721
PECOS PAC ID: 8123200631
Enrollment ID: O20110304000289 |
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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 Tamara K Connor 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 |
|---|
Mrs Tamara K Connor, CRNP-FNP-C
33 Meadow Creek Ln,
Glenmoore, PA 19343-2017
Ph: (610) 368-7430 | Mrs Tamara K Connor, CRNP-FNP-C
33 Meadow Creek Ln,
Glenmoore, PA 19343-2017
Ph: (610) 368-7430 |
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