Paulina Tackett, CRNA - Medicare Nurse Anesthetist, Certified Registered in Sterling Heights, MI

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Paulina Tackett, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sterling Heights, Michigan. Her current practice location is 39363 Owendale Dr, Sterling Heights, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 883-2905.

Paulina Tackett is licensed to practice in Michigan (license number 4704338150) 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 1780256719.

Contact Information

Paulina Tackett, CRNA
39363 Owendale Dr,
Sterling Heights, MI 48310-2569
(586) 883-2905
Not Available

Map and Direction




Provider's Profile

Full NamePaulina Tackett
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location39363 Owendale Dr, Sterling Heights, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780256719
  • Provider Enumeration Date: 07/09/2021
  • Last Update Date: 11/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294199121
  • Enrollment ID: I20230912000699

Medical Identifiers

Medical identifiers for Paulina Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780256719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704338150 (Michigan)Primary
163W00000XRegistered Nurse 4704338150 (Michigan)Secondary

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. Paulina Tackett allows following entities to bill medicare on her behalf.
Entity NameNorthstar Anesthesia Of Michigan Iii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990

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. Paulina Tackett 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
Paulina Tackett, CRNA
4640 Sidney St,
Shelby Township, MI 48317-2955

Ph: (586) 883-2905		Paulina Tackett, CRNA
39363 Owendale Dr,
Sterling Heights, MI 48310-2569

Ph: (586) 883-2905

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Sterling Heights, MI

Mr. Michael John Rakowski, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 12815 Leech Dr, Sterling Heights, MI 48312
Phone: 313-343-4766    
Victoria M Lonczynski, C.R.N.A
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 14500 Hall Rd, Sterling Heights, MI 48313
Phone: 586-247-6918    
Myraflor Sanchez,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 39849 Crystal Dr, Sterling Heights, MI 48310
Phone: 586-354-4102    
Mr. Henry Cortez Uban Ii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 14500 Hall Rd, Sterling Heights, MI 48313
Phone: 586-247-4049    Fax: 586-263-2128
Lisa Ann Mueller, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5456 15 Mile Rd, Suite 101, Sterling Heights, MI 48310
Phone: 586-977-7246    
Ms. Sandra Scetta Dagenais, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 14500 Hall Rd, Sterling Heights, MI 48313
Phone: 586-247-2700    

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.