Tara Puckett, NP-C in Coldwater, MS - Medicare Nurse Practitioner

Tara Puckett, NP-C is a medicare enrolled "Nurse Practitioner" in Coldwater, Mississippi. Her current practice location is 423 Central Ave, Coldwater, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 622-7011.

Tara Puckett is licensed to practice in Mississippi (license number R880191) 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 1942695929.

Contact Information

	Tara Puckett, NP-C
	423 Central Ave, Coldwater, MS 38618-3915
	(662) 622-7011
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Puckett
Gender	Female
Speciality	Nurse Practitioner
Location	423 Central Ave, Coldwater, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942695929
Provider Enumeration Date: 04/06/2015
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 0042599540
Enrollment ID: I20161123001526

Medical Identifiers

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

Identifier	Type	State	Issuer
1942695929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R880191 (Mississippi)	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 Puckett allows following entities to bill medicare on her behalf.

Entity Name	Clinic 221 Family Health Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073089843 PECOS PAC ID: 4880938992 Enrollment ID: O20181130000540

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 Puckett 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 Puckett, NP-C 400 Northwest Plz, Senatobia, MS 38668-1740 Ph: (662) 301-8330	Tara Puckett, NP-C 423 Central Ave, Coldwater, MS 38618-3915 Ph: (662) 622-7011

Reviews and Comments

Nurse Practitioner Nurses in Coldwater, MS

Joseph Louis Omedeo Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 423 Central Ave, Coldwater, MS 38618 Phone: 662-622-7011
Jamie Birge, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 643 W Service Dr, Coldwater, MS 38618 Phone: 662-624-4292 Fax: 662-624-4354
Anthony Newson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 643 W Service Dr, Coldwater, MS 38618 Phone: 662-233-5200 Fax: 662-624-4354
Blake Andrew Embrey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 423 Central Avenue, Coldwater, MS 38618 Phone: 662-622-7011
Natalie H Barker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4962 Highway 305, Coldwater, MS 38618 Phone: 662-370-5067 Fax: 662-370-5076
Miss Brittany Kelly Harris, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 643 W Service Dr, Coldwater, MS 38618 Phone: 662-233-5200 Fax: 662-233-5200

Tara Puckett, NP-C - Medicare Nurse Practitioner in Coldwater, MS