Mrs Tara Dickherber, LPC is a medicare enrolled "Counselor" provider in Louisiana, Missouri. Her current practice location is
122 S 3rd St, Louisiana, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 754-0348.
Mrs Tara Dickherber is licensed to practice in Missouri (license number 2001022068) 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 1083704852.
Healthcare Provider's Profile
Full Name | Mrs Tara Dickherber |
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Gender | Female |
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Speciality | Counselor |
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Location | 122 S 3rd St, Louisiana, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083704852
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7810347598
- Enrollment ID: I20231220003423
Medical Identifiers
Medical identifiers for Mrs Tara Dickherber such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083704852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 2001022068 (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. Mrs Tara Dickherber allows following entities to bill medicare on her behalf.
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
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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. Mrs Tara Dickherber 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 |
Mrs Tara Dickherber, LPC 122 S 3rd St, Louisiana, MO 63353-2060 Ph: (573) 754-0348 | Mrs Tara Dickherber, LPC 122 S 3rd St, Louisiana, MO 63353-2060 Ph: (573) 754-0348 |
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