Tabatha Nicole Peters, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Mcconnelsville, Ohio. Her current practice location is
3322 E State Route 78 Ne, Mcconnelsville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 962-2690.
Tabatha Nicole Peters is licensed to practice in Ohio (license number APRN.CNP.0029774) 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 1700553641.
Provider's Profile
| Full Name | Tabatha Nicole Peters |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3322 E State Route 78 Ne, Mcconnelsville, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700553641
- Provider Enumeration Date: 08/27/2021
- Last Update Date: 11/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668842311
- Enrollment ID: I20221221002312
Medical Identifiers
Medical identifiers for Tabatha Nicole Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700553641 | NPI | - | NPPES |
| APRN.CNP.0029774 | Other | OH | NURSING BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | APRN.CNP.0029774 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0029774 (Ohio) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.0029774 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0029774 (Ohio) | 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. Tabatha Nicole Peters allows following entities to bill medicare on her behalf.
| Entity Name | Panorama Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558992842 PECOS PAC ID: 8527498310 Enrollment ID: O20200417003330 |
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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. Tabatha Nicole Peters 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 Nicole Peters, FNP-C Po Box 396, Springboro, OH 45066-0396 Ph: (740) 624-9439 | Tabatha Nicole Peters, FNP-C 3322 E State Route 78 Ne, Mcconnelsville, OH 43756-9284 Ph: (740) 962-2690 |
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