Tara Thor, in Moline, IL - Medicare Counselor Provider

Tara Thor, is a medicare enrolled "Counselor - Mental Health" provider in Moline, Illinois. Her current practice location is 2200 52nd Ave, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 797-2900.

Tara Thor is licensed to practice in * (Not Available) (license number ) 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 1447866447.

Contact Information

	Tara Thor,
	2200 52nd Ave, Moline, IL 61265-6308
	(309) 797-2900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Thor
Gender	Female
Speciality	Counselor - Mental Health
Location	2200 52nd Ave, Moline, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447866447
Provider Enumeration Date: 09/16/2020
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4486090941
Enrollment ID: I20240307001007

Medical Identifiers

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

Identifier	Type	State	Issuer
1447866447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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 Thor allows following entities to bill medicare on her behalf.

Entity Name	Southpark Psychology Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558470419 PECOS PAC ID: 8527203090 Enrollment ID: O20130404000285

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 Thor 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 Thor, 2200 52nd Ave, Moline, IL 61265-6308 Ph: (309) 797-2900	Tara Thor, 2200 52nd Ave, Moline, IL 61265-6308 Ph: (309) 797-2900

Reviews and Comments

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Brooke E Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031

Tara Thor, - Medicare Counselor in Moline, IL