Mrs Tara Blake Comardelle, CRNA, MNNA, BSN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Geismar, Louisiana. Her current practice location is
12293 Old Millstone Dr., Geismar, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(407) 748-3405.
Mrs Tara Blake Comardelle is licensed to practice in Louisiana (license number TAP002845) 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 1528323078.
Provider's Profile
| Full Name | Mrs Tara Blake Comardelle |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 12293 Old Millstone Dr., Geismar, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528323078
- Provider Enumeration Date: 07/11/2012
- Last Update Date: 07/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 7214186055
- Enrollment ID: I20121011000179
Medical Identifiers
Medical identifiers for Mrs Tara Blake Comardelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528323078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | TAP002845 (Louisiana) | 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 Tara Blake Comardelle allows following entities to bill medicare on her behalf.
| Entity Name | Anesthesiology Group Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255399598 PECOS PAC ID: 0042110298 Enrollment ID: O20040113000117 |
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| Entity Name | University Medical Center Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083655567 PECOS PAC ID: 7012150311 Enrollment ID: O20130906000137 |
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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 Tara Blake Comardelle 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 Tara Blake Comardelle, CRNA, MNNA, BSN 12293 Old Millstone Dr, Geismar, LA 70734-3237 Ph: (407) 748-1602 | Mrs Tara Blake Comardelle, CRNA, MNNA, BSN 12293 Old Millstone Dr., Geismar, LA 70734 Ph: (407) 748-3405 |
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