Tara Lynn Lanz, is a medicare enrolled "Nurse Practitioner - Family" in Lowell, Michigan. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Theoria Medical and her current practice location is
350 N Center St, Lowell, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 897-8473.
Tara Lynn Lanz is licensed to practice in Michigan (license number 4704263184) 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 1801620828.
Provider's Profile
| Full Name | Tara Lynn Lanz |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 350 N Center St, Lowell, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tara Lynn Lanz graduated from nursing school in 2022
NPI Data:
- NPI Number: 1801620828
- Provider Enumeration Date: 08/30/2024
- Last Update Date: 08/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719100288
- Enrollment ID: I20241015002016
Medical Identifiers
Medical identifiers for Tara Lynn Lanz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801620828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704263184 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Theoria Medical | 5395098339 | 414 |
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 Lynn Lanz allows following entities to bill medicare on her behalf.
| Entity Name | Theoria Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127 |
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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 Lynn Lanz 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 Lynn Lanz,
4921 Goodwin Rd,
Lyons, MI 48851-9718
Ph: (517) 712-4701 | Tara Lynn Lanz,
350 N Center St,
Lowell, MI 49331-1212
Ph: (616) 897-8473 |
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