Suzanne Tarver, is a medicare enrolled "Physician Assistant" in Harrah, Oklahoma. Her current practice location is
20826 Main St, Harrah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 454-2404.
Suzanne Tarver is licensed to practice in Oklahoma (license number 1971) 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 1669777116.
Provider's Profile
| Full Name | Suzanne Tarver |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 20826 Main St, Harrah, Oklahoma |
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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: 1669777116
- Provider Enumeration Date: 01/13/2011
- Last Update Date: 01/22/2011
Medicare PECOS Information:
- PECOS PAC ID: 2668636911
- Enrollment ID: I20191209001538
Medical Identifiers
Medical identifiers for Suzanne Tarver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669777116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 1971 (Oklahoma) | 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. Suzanne Tarver allows following entities to bill medicare on her behalf.
| Entity Name | City of Sioux Falls |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932295888
PECOS PAC ID: 7810943859
Enrollment ID: O20050323000703 |
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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. Suzanne Tarver 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 |
|---|
Suzanne Tarver,
20826 Main St, Po Box 900,
Harrah, OK 73045-9756
Ph: (405) 454-2404 | Suzanne Tarver,
20826 Main St,
Harrah, OK 73045-9756
Ph: (405) 454-2404 |
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