Dr Laurel A Tait, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Salem, Arkansas. Her current practice location is
106 Highway 62 W, Salem, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 895-2015.
Dr Laurel A Tait is licensed to practice in Missouri (license number MO00556) 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 1831119676.
Healthcare Provider's Profile
| Full Name | Dr Laurel A Tait |
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| Gender | Female |
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| Speciality | Podiatrist - Primary Podiatric Medicine |
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| Location | 106 Highway 62 W, Salem, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831119676
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 02/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880790237
- Enrollment ID: I20150824002123
Medical Identifiers
Medical identifiers for Dr Laurel A Tait such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831119676 | NPI | - | NPPES |
| 480005007 | Other | MO | RAILROAD MEDICARE |
| 12934038 | Other | MO | BLUE CROSS BLUE SHIELD |
| 02358739 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | MO00556 (Missouri) | 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. Dr Laurel A Tait allows following entities to bill medicare on her behalf.
| Provider Name | Access Medical Clinic Arkansas Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1578007647
PECOS PAC ID: 5890077093
Enrollment ID: O20170124001288 |
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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. Dr Laurel A Tait 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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Dr Laurel A Tait, DPM
3880 Majestic Oaks Dr,
Oxford, MS 38655-8143
Ph: (662) 236-7070 | Dr Laurel A Tait, DPM
106 Highway 62 W,
Salem, AR 72576-8059
Ph: (870) 895-2015 |
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