Mrs Tara Macseene Grgurich, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Green Castle, Missouri. Her current practice location is
14288 Shibley Rd, Green Castle, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 488-6598.
Mrs Tara Macseene Grgurich is licensed to practice in Missouri (license number 2013012835) 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 1619313459.
Provider's Profile
| Full Name | Mrs Tara Macseene Grgurich |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 14288 Shibley Rd, Green Castle, Missouri |
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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: 1619313459
- Provider Enumeration Date: 05/20/2013
- Last Update Date: 10/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608018296
- Enrollment ID: I20130812000076
Medical Identifiers
Medical identifiers for Mrs Tara Macseene Grgurich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619313459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 2013012835 (Missouri) | 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 Macseene Grgurich allows following entities to bill medicare on her behalf.
| Entity Name | Macon County Samaritan Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548215106
PECOS PAC ID: 1456261395
Enrollment ID: O20040121000179 |
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| Entity Name | The Curators Of The University Of Missouri |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235126921
PECOS PAC ID: 4486759560
Enrollment ID: O20070418000290 |
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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 Macseene Grgurich 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 |
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Mrs Tara Macseene Grgurich, CRNA
1104 N Baltimore St,
Kirksville, MO 63501-2528
Ph: (660) 216-9300 | Mrs Tara Macseene Grgurich, CRNA
14288 Shibley Rd,
Green Castle, MO 63544-3141
Ph: (660) 488-6598 |
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