Tara Goosey, FNP is a medicare enrolled "Nurse Practitioner" in Archie, Missouri. Her current practice location is
709 E Pine Street, Archie, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 430-5777.
Tara Goosey is licensed to practice in Missouri (license number 2022047365) 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 1225743271.
Provider's Profile
| Full Name | Tara Goosey |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 709 E Pine Street, Archie, Missouri |
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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: 1225743271
- Provider Enumeration Date: 01/13/2023
- Last Update Date: 01/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355714619
- Enrollment ID: I20230307002132
Medical Identifiers
Medical identifiers for Tara Goosey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225743271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 2022047365 (Missouri) | 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 Goosey allows following entities to bill medicare on her behalf.
| Entity Name | Cass Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477535326
PECOS PAC ID: 7517853781
Enrollment ID: O20040225000028 |
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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. Tara Goosey 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 Goosey, FNP
Po Box 46,
Archie, MO 64725-0046
Ph: (816) 430-5777 | Tara Goosey, FNP
709 E Pine Street,
Archie, MO 64725-0046
Ph: (816) 430-5777 |
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