Tabatha D Landrum, NP in Mooresville, IN - Medicare Nurse Practitioner

Tabatha D Landrum, NP is a medicare enrolled "Nurse Practitioner - Family" in Mooresville, Indiana. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Orthopaedic Associates, Inc, Indiana University Health Care Associates Inc, Iu Health Medical Group Llc and her current practice location is 1205 Hadley Rd Ste 120, Mooresville, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 528-2555.

Tabatha D Landrum is licensed to practice in Indiana (license number 71009930A) 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 1700398666.

Contact Information

	Tabatha D Landrum, NP
	1205 Hadley Rd Ste 120, Mooresville, IN 46158-1934
	(317) 528-2555
	(317) 528-2566

Map and Direction

Provider's Profile

Full Name	Tabatha D Landrum
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1205 Hadley Rd Ste 120, Mooresville, Indiana
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:

Tabatha D Landrum graduated from nursing school in 2019

NPI Data:

NPI Number: 1700398666
Provider Enumeration Date: 11/01/2017
Last Update Date: 01/06/2026

Medicare PECOS Information:

PECOS PAC ID: 0648600569
Enrollment ID: I20200416003063

Medical Identifiers

Medical identifiers for Tabatha D Landrum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700398666	NPI	-	NPPES
1700398666	Other	IN	ANTHEM PTAN
1102471365	Other	IN	ANTHEM PTAN
300037047	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71009930A (Indiana)	Primary
163W00000X	Registered Nurse	28186169A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71009930A (Indiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health	Indianapolis, IN	Hospital
Iu Health West Hospital	Avon, IN	Hospital
Indiana University Health North Hospital	Carmel, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Orthopaedic Associates, Inc	2062304801	15
Indiana University Health Care Associates Inc	5799755864	914
Iu Health Medical Group Llc	9638617913	1024

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. Tabatha D Landrum allows following entities to bill medicare on her behalf.

Entity Name	University Orthopaedic Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841241437 PECOS PAC ID: 2062304801 Enrollment ID: O20040326000901

Entity Name	Union Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013965573 PECOS PAC ID: 8426943614 Enrollment ID: O20040519000807

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

Entity Name	Iu Health Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533

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. Tabatha D Landrum 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
Tabatha D Landrum, NP Po Box 781076, Detroit, MI 48278-1008 Ph: (317) 528-4800	Tabatha D Landrum, NP 1205 Hadley Rd Ste 120, Mooresville, IN 46158-1934 Ph: (317) 528-2555

Reviews and Comments

Nurse Practitioner Nurses in Mooresville, IN

Cortney Michelle Riley, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Hadley Rd Ste 103, Mooresville, IN 46158 Phone: 765-961-5161
Gaynell S Pierson, MSN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Fields St, Mooresville, IN 46158 Phone: 317-584-0038 Fax: 317-834-5469
Britani N Frame, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 N Samuel Moore Pkwy, Mooresville, IN 46158 Phone: 317-483-5000 Fax: 317-483-5050
Amy Jo King, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 Hadley Rd Ste 130, Mooresville, IN 46158 Phone: 317-831-9340 Fax: 317-834-4320
Kelly L. Prather, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1199 Hadley Rd Ste 100, Mooresville, IN 46158 Phone: 317-834-3263 Fax: 317-834-5194
Lisa Richardson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4919 E Dayhuff Rd, Mooresville, IN 46158 Phone: 317-690-5217
Susan Brandenburg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 523 S State Road 67, Mooresville, IN 46158 Phone: 866-389-2727

Tabatha D Landrum, NP - Medicare Nurse Practitioner in Mooresville, IN