Tara R Henthorn, - Medicare Nurse Practitioner in Chickasha, OK

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Tara R Henthorn, is a medicare enrolled "Nurse Practitioner - Family" in Chickasha, Oklahoma. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Williams Medical Group Practice Llc, Medical Resource Management Llc and her current practice location is 411 W Grand Ave, Chickasha, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 224-0053.

Tara R Henthorn is licensed to practice in Oklahoma (license number 102945) 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 1811530603.

Contact Information

Tara R Henthorn,
411 W Grand Ave,
Chickasha, OK 73018-5862
(405) 224-0053
Not Available

Map and Direction




Provider's Profile

Full NameTara R Henthorn
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location411 W Grand Ave, Chickasha, Oklahoma
Accepts Medicare AssignmentsYes. 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 R Henthorn graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1811530603
  • Provider Enumeration Date: 10/24/2019
  • Last Update Date: 12/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8224460225
  • Enrollment ID: I20191113000955

Medical Identifiers

Medical identifiers for Tara R Henthorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811530603NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 102945 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Williams Medical Group Practice Llc3375832157122
Medical Resource Management Llc408275391867

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 R Henthorn allows following entities to bill medicare on her behalf.
Entity NameTulsa Emergency Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063479087
PECOS PAC ID: 3375442692
Enrollment ID: O20040106000606
Entity NameMedical Resource Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104056365
PECOS PAC ID: 4082753918
Enrollment ID: O20100830000840
Entity NameWilliams Medical Group Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346608809
PECOS PAC ID: 3375832157
Enrollment ID: O20181228001300

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 R Henthorn 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 AddressPractice Location Address
Tara R Henthorn,
416 N Main St,
Altus, OK 73521-3108

Ph: () -		Tara R Henthorn,
411 W Grand Ave,
Chickasha, OK 73018-5862

Ph: (405) 224-0053

Reviews and Comments


Nurse Practitioner Nurses in Chickasha, OK

Alisa Tarasova, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 304 S 29th St, Chickasha, OK 73018
Phone: 058-968-0584    Fax: 855-223-1999
Chelsie Rae-anne Petrie, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1928 S 4th St, Chickasha, OK 73018
Phone: 405-224-6700    Fax: 405-400-0170
Eunhye Steele, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 304 S 29th St, Chickasha, OK 73018
Phone: 405-896-8058    Fax: 855-223-1999
Ms. Kaletha Lynell Hightower, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 702 W Texas Ave, Chickasha, OK 73018
Phone: 405-604-7995    
Jerrus Harris, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018
Phone: 405-224-2100    Fax: 405-779-2244
Sara Buster,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 304 S 29th St, Chickasha, OK 73018
Phone: 405-816-8058    Fax: 855-223-1999
Heather Michelle Rowell, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 411 W Grand Ave, Chickasha, OK 73018
Phone: 405-224-0053    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.