Tara Dawn Colledge, APRN in Highland, UT - Medicare Nurse Practitioner

Tara Dawn Colledge, APRN is a medicare enrolled "Nurse Practitioner" in Highland, Utah. Her current practice location is 5587 W Hidden Dr, Highland, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 836-0628.

Tara Dawn Colledge is licensed to practice in Utah (license number 48497794405) 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 1689353146.

Contact Information

	Tara Dawn Colledge, APRN
	5587 W Hidden Dr, Highland, UT 84003-9139
	(801) 836-0628
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Dawn Colledge
Gender	Female
Speciality	Nurse Practitioner
Location	5587 W Hidden Dr, Highland, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689353146
Provider Enumeration Date: 07/12/2023
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3072975267
Enrollment ID: I20230821002038

Medical Identifiers

Medical identifiers for Tara Dawn Colledge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689353146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	48497794405 (Utah)	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. Tara Dawn Colledge allows following entities to bill medicare on her behalf.

Entity Name	Premier Family Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079

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. Tara Dawn Colledge 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
Tara Dawn Colledge, APRN 275 W 200 N, Lindon, UT 84042-5009 Ph: (801) 836-0628	Tara Dawn Colledge, APRN 5587 W Hidden Dr, Highland, UT 84003-9139 Ph: (801) 836-0628

Reviews and Comments

Nurse Practitioner Nurses in Highland, UT

Marquesa Rae Campbell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10290 N North County Blvd, Highland, UT 84003 Phone: 435-776-5909
Sarah Archambault, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5326 W 11000 N, Highland, UT 84003 Phone: 801-814-7622
Camille Kesler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10197 N 5750 W, Highland, UT 84003 Phone: 801-857-9514
Mrs. Christine Kerr Renfro, APRN, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5326 W 11000 N, Highland, UT 84003 Phone: 801-763-9786
Shelly Ebert, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10968 N Alpine Hwy, Highland, UT 84003 Phone: 801-763-2900 Fax: 801-763-2929
Iras Miller, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11255 N 5710 W, Highland, UT 84003 Phone: 801-360-9398

Tara Dawn Colledge, APRN - Medicare Nurse Practitioner in Highland, UT