Tara Leigh Benson, APNP is a medicare enrolled "Nurse Practitioner - Family" in Little Suamico, Wisconsin. Her current practice location is
834 Twin Maple Ct, Little Suamico, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 883-7212.
Tara Leigh Benson is licensed to practice in Wisconsin (license number 15391-33) 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 1124868187.
Provider's Profile
| Full Name | Tara Leigh Benson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 834 Twin Maple Ct, Little Suamico, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124868187
- Provider Enumeration Date: 05/28/2024
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183164171
- Enrollment ID: I20240917001405
Medical Identifiers
Medical identifiers for Tara Leigh Benson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124868187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 15391-33 (Wisconsin) | 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 Leigh Benson allows following entities to bill medicare on her behalf.
| Entity Name | Interim Hospice & Palliative Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215229604 PECOS PAC ID: 0749458735 Enrollment ID: O20130926000117 |
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| Entity Name | Oak Medical Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669910345 PECOS PAC ID: 0042595175 Enrollment ID: O20170331001848 |
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| Entity Name | Maple Medical Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487152104 PECOS PAC ID: 9032471248 Enrollment ID: O20180328002607 |
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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 Leigh Benson 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 Leigh Benson, APNP 834 Twin Maple Ct, Little Suamico, WI 54141 Ph: (920) 883-7212 | Tara Leigh Benson, APNP 834 Twin Maple Ct, Little Suamico, WI 54141 Ph: (920) 883-7212 |
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