Tacha H Souverain, ARNP in Palm Coast, FL - Medicare Nurse Practitioner

Tacha H Souverain, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Palm Coast, Florida. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ability Health Services, Inc, Ability Health Services And Rehabilitation Lp, Ardent Family Care Pa and her current practice location is 84 Pinnacles Dr Ste 200, Palm Coast, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 439-9777.

Tacha H Souverain is licensed to practice in Florida (license number 11014127) 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 1518633767.

Contact Information

	Tacha H Souverain, ARNP
	84 Pinnacles Dr Ste 200, Palm Coast, FL 32164-2324
	(386) 439-9777
	(386) 439-0800

Map and Direction

Provider's Profile

Full Name	Tacha H Souverain
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	84 Pinnacles Dr Ste 200, Palm Coast, Florida
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:

Tacha H Souverain graduated from nursing school in 2020

NPI Data:

NPI Number: 1518633767
Provider Enumeration Date: 08/18/2021
Last Update Date: 08/18/2021

Medicare PECOS Information:

PECOS PAC ID: 2163890278
Enrollment ID: I20221122000230

Medical Identifiers

Medical identifiers for Tacha H Souverain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518633767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11014127 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Golden Heart Home Health Care	Orange park, FL	Home health agency
Trilogy Home Healthcare	Jacksonville, FL	Home health agency
Accentcare Home Health Of Daytona	Ormond beach, FL	Home health agency
Florida Hospital Flagler	Palm coast, FL	Hospital
Adventhealth Daytona Beach	Daytona beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ability Health Services, Inc	4082523329	896
Ability Health Services And Rehabilitation Lp	4981986288	904
Ardent Family Care Pa	7517933419	4

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. Tacha H Souverain allows following entities to bill medicare on her behalf.

Entity Name	Ardent Family Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225131477 PECOS PAC ID: 7517933419 Enrollment ID: O20040902000408

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. Tacha H Souverain 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
Tacha H Souverain, ARNP 84 Pinnacles Dr Ste 200, Palm Coast, FL 32164-2324 Ph: (386) 439-9777	Tacha H Souverain, ARNP 84 Pinnacles Dr Ste 200, Palm Coast, FL 32164-2324 Ph: (386) 439-9777

Reviews and Comments

Nurse Practitioner Nurses in Palm Coast, FL

Traci Lee Smith, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Cypress Point Pkwy Ste D102, Palm Coast, FL 32164 Phone: 386-230-4448
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861
Cynthia Michelle Baxter, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 381 Palm Coast Pkwy Sw Unit 2, Palm Coast, FL 32137 Phone: 386-232-8089
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373
Amanda Vera, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811
Traci Serrano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720

Tacha H Souverain, ARNP - Medicare Nurse Practitioner in Palm Coast, FL