Mrs Tara Lynn Pettit, CRNA, MSN in Camden, NJ - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Tara Lynn Pettit, CRNA, MSN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Camden, New Jersey. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Ultracare Anesthesia Partners Llc and her current practice location is 1 Cooper Plz, Camden, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 342-2425.

Mrs Tara Lynn Pettit is licensed to practice in New Jersey (license number NJ00305300) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205155223.

Contact Information

	Mrs Tara Lynn Pettit, CRNA, MSN
	1 Cooper Plz, Camden, NJ 08103-1461
	(856) 342-2425
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tara Lynn Pettit
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	1 Cooper Plz, Camden, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tara Lynn Pettit graduated from nursing school in 2018

NPI Data:

NPI Number: 1205155223
Provider Enumeration Date: 06/01/2010
Last Update Date: 04/11/2018

Medicare PECOS Information:

PECOS PAC ID: 8628251196
Enrollment ID: I20250310000106

Medical Identifiers

Medical identifiers for Mrs Tara Lynn Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205155223	NPI	-	NPPES
NJ00305300	Other	NJ	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NR11265000 (New Jersey)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	NJ00305300 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ultracare Anesthesia Partners Llc	4082920525	52

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 Lynn Pettit allows following entities to bill medicare on her behalf.

Entity Name	Ultracare Anesthesia Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407236110 PECOS PAC ID: 4082920525 Enrollment ID: O20200107001513

Entity Name	Gsc Anesthesia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134718885 PECOS PAC ID: 1759796758 Enrollment ID: O20210225002353

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 Lynn Pettit 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 Lynn Pettit, CRNA, MSN 1 Federal St Ste Sw200, Camden, NJ 08103-1155 Ph: (856) 356-4924	Mrs Tara Lynn Pettit, CRNA, MSN 1 Cooper Plz, Camden, NJ 08103-1461 Ph: (856) 342-2425

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Camden, NJ

Winter E. Skelly, CRNA, APN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425
Balaishe Boakai Ballo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Haddon Ave Fl 3, Camden, NJ 08103 Phone: 856-988-6260 Fax: 856-988-6270
Michael Phillip Hoess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2425
Amy Tsao, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-382-6500
Maria Dinnah Eclavia-dy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Cooper Anesthesia Associates, Camden, NJ 08103 Phone: 856-342-2425
Laura Faust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425
Amy O'donnell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425

Mrs Tara Lynn Pettit, CRNA, MSN - Medicare Certified Registered Nurse Anesthetist (crna) in Camden, NJ