Mrs Tara Robertson, FNP-C - Medicare Nurse Practitioner in Mount Sterling, IL

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Mrs Tara Robertson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Mount Sterling, Illinois. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Riverside Dermatology And Spa Llc and her current practice location is 1 Dot Way, Mount Sterling, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 773-6060.

Mrs Tara Robertson is licensed to practice in Illinois (license number 209012568) 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 1104204122.

Contact Information

Mrs Tara Robertson, FNP-C
1 Dot Way,
Mount Sterling, IL 62353-1664
(217) 773-6060
(217) 436-6762

Map and Direction




Provider's Profile

Full NameMrs Tara Robertson
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1 Dot Way, Mount Sterling, Illinois
Accepts Medicare AssignmentsYes. 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 Robertson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1104204122
  • Provider Enumeration Date: 05/11/2015
  • Last Update Date: 03/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2062707961
  • Enrollment ID: I20200513002515

Medical Identifiers

Medical identifiers for Mrs Tara Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104204122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209012568 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Blessing HospitalQuincy, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverside Dermatology And Spa Llc72142822275

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 Robertson allows following entities to bill medicare on her behalf.
Entity NameRiverside Dermatology & Spa Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699262329
PECOS PAC ID: 7214282227
Enrollment ID: O20180615000066
Entity NameIntegrated Dermatology Of Northeast Missouri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992518658
PECOS PAC ID: 5698293108
Enrollment ID: O20250519002195

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 Robertson 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 Tara Robertson, FNP-C
1531 Winsor Dr,
Quincy, IL 62305-1471

Ph: (217) 440-5089		Mrs Tara Robertson, FNP-C
1 Dot Way,
Mount Sterling, IL 62353-1664

Ph: (217) 773-6060

Reviews and Comments


Nurse Practitioner Nurses in Mount Sterling, IL

Dawn Elizabeth Koch, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 521 E Main St, Mount Sterling, IL 62353
Phone: 217-223-1200    
Destiny Craven, APRN, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 521 E Main St, Mount Sterling, IL 62353
Phone: 217-285-2113    Fax: 217-773-7107

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.