Tara James, FNP is a medicare enrolled "Nurse Practitioner - Family" in Daytona Beach Shores, Florida. Her current practice location is
3512 S Atlantic Ave, Daytona Beach Shores, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 767-9544.
Tara James is licensed to practice in Florida (license number 9494499) 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 1518433804.
Provider's Profile
| Full Name | Tara James |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3512 S Atlantic Ave, Daytona Beach Shores, Florida |
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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: 1518433804
- Provider Enumeration Date: 10/15/2018
- Last Update Date: 05/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032446430
- Enrollment ID: I20190807004113
Medical Identifiers
Medical identifiers for Tara James such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518433804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 902693 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9494499 (Florida) | 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 James allows following entities to bill medicare on her behalf.
| Entity Name | Gerald R Woodard Do Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114111440
PECOS PAC ID: 9436115052
Enrollment ID: O20041206000869 |
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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 James 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 |
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Tara James, FNP
3512 S Atlantic Ave,
Daytona Beach Shores, FL 32118-7639
Ph: (386) 767-9544 | Tara James, FNP
3512 S Atlantic Ave,
Daytona Beach Shores, FL 32118-7639
Ph: (386) 767-9544 |
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