Tara Peterson, APNP in Green Bay, WI - Medicare Nurse Practitioner

Tara Peterson, APNP is a medicare enrolled "Nurse Practitioner" in Green Bay, Wisconsin. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advanced Ear Nose And Throat Specialists, Sc and her current practice location is 2654 S Oneida St Stop 102, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (888) 938-3838.

Tara Peterson is licensed to practice in Wisconsin (license number 15899-33) 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 1144045444.

Contact Information

	Tara Peterson, APNP
	2654 S Oneida St Stop 102, Green Bay, WI 54304-5337
	(888) 938-3838
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Peterson
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	2654 S Oneida St Stop 102, Green Bay, Wisconsin
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 Peterson graduated from nursing school in 2023

NPI Data:

NPI Number: 1144045444
Provider Enumeration Date: 11/21/2024
Last Update Date: 12/13/2024

Medicare PECOS Information:

PECOS PAC ID: 0547797318
Enrollment ID: I20241218003452

Medical Identifiers

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

Identifier	Type	State	Issuer
1144045444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	197282-30 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	15899-33 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Ear Nose And Throat Specialists, Sc	9335106319	39

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 Peterson allows following entities to bill medicare on her behalf.

Entity Name	Advanced Ear Nose & Throat Specialists, Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689782427 PECOS PAC ID: 9335106319 Enrollment ID: O20041210000619

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 Peterson 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 Peterson, APNP 10001 W Innovation Dr Ste 200, Milwaukee, WI 53226-4851 Ph: (888) 838-3838	Tara Peterson, APNP 2654 S Oneida St Stop 102, Green Bay, WI 54304-5337 Ph: (888) 938-3838

Reviews and Comments

Nurse Practitioner Nurses in Green Bay, WI

Tammy Ann Motquin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226
Mary C Fox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3237 Voyager Dr, Green Bay, WI 54311 Phone: 920-468-8288
Mrs. Kristen Kay Lampe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 S Van Buren St, Suite 201, Green Bay, WI 54301 Phone: 920-433-7488
Nicole L Lowe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7348
Mr. Cristian A Vasiliev, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800
Corinne Elizabeth George, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-445-7301
Junhong Pace, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700

Tara Peterson, APNP - Medicare Nurse Practitioner in Green Bay, WI