Tara Ladawn Phillips, FNP-C - Medicare Registered Nurse in Idabel, OK

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Tara Ladawn Phillips, FNP-C is a medicare enrolled "Registered Nurse - General Practice" in Idabel, Oklahoma. Her current practice location is 410 Moonlight St, Idabel, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 212-1856.

Tara Ladawn Phillips is licensed to practice in Oklahoma (license number 113302) 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 1801378641.

Contact Information

Tara Ladawn Phillips, FNP-C
410 Moonlight St,
Idabel, OK 74745-8108
(580) 212-1856
Not Available

Map and Direction




Provider's Profile

Full NameTara Ladawn Phillips
GenderFemale
SpecialityRegistered Nurse - General Practice
Location410 Moonlight St, Idabel, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801378641
  • Provider Enumeration Date: 08/29/2018
  • Last Update Date: 06/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5395190177
  • Enrollment ID: I20231013002442

Medical Identifiers

Medical identifiers for Tara Ladawn Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801378641NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 113302 (Oklahoma)Secondary
163WG0000XRegistered Nurse - General Practice 113302 (Oklahoma)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 Ladawn Phillips allows following entities to bill medicare on her behalf.
Entity NameH H Y Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225415565
PECOS PAC ID: 7618279530
Enrollment ID: O20160111000273
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190520001486
Entity NameTotal Wound Care Of Texas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225741937
PECOS PAC ID: 0648644138
Enrollment ID: O20230323003223

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 Ladawn Phillips 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 AddressPractice Location Address
Tara Ladawn Phillips, FNP-C
Po Box 1837,
Idabel, OK 74745-1837

Ph: (580) 212-8624		Tara Ladawn Phillips, FNP-C
410 Moonlight St,
Idabel, OK 74745-8108

Ph: (580) 212-1856

Reviews and Comments


Registered Nurse Nurses in Idabel, OK

Shannon Stevenson, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 903 E Washington St, Idabel, OK 74745
Phone: 580-920-7211    
Bethany Stewart,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2000 E Lincoln Rd, Idabel, OK 74745
Phone: 580-286-6639    
Susan Elliott,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 903 E Washington St, Idabel, OK 74745
Phone: 580-920-7200    
Debra Ann Livergood, BSN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2000 E Lincoln Rd, Idabel, OK 74745
Phone: 580-286-6639    
Annette Ledawn Choate,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 902 E Lincoln Rd, Idabel, OK 74745
Phone: 580-286-2600    Fax: 580-286-1087
Ms. Theresa Ann Maderer, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2000 E Lincoln Rd, Idabel, OK 74745
Phone: 580-286-6639    Fax: 580-286-5206
Leann Tomlinson,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2002 E Lincoln Rd, Idabel, OK 74745
Phone: 580-286-6639    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.