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

Tara Ladawn Phillips, FNP-C is a medicare enrolled "Registered Nurse - General Practice" in Idabel, Oklahoma. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Total Wound Care Of Oklahoma Llc and 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 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 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 Name	Tara Ladawn Phillips
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	410 Moonlight St, Idabel, Oklahoma
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:

Tara Ladawn Phillips graduated from nursing school in 2018

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: I20240304001389

Medical Identifiers

Medical identifiers for Tara Ladawn Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801378641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	113302 (Oklahoma)	Secondary
163WG0000X	Registered Nurse - General Practice	113302 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mccurtain Memorial Hospital	Idabel, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Total Wound Care Of Oklahoma Llc	1254724081	14

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 Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210505002298

Entity Name	Total Wound Care Of Oklahoma Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972269033 PECOS PAC ID: 1254724081 Enrollment ID: O20220131001299

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 Address	Practice 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

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