Tara Pettit Deloach, LMFT in Augusta, GA - Medicare Marriage & Family Therapist Provider

Tara Pettit Deloach, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Augusta, Georgia. Her current practice location is 930 Stevens Creek Rd Ste 1, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 343-3661.

Tara Pettit Deloach is licensed to practice in Georgia (license number MFT001470) 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 1790002947.

Contact Information

	Tara Pettit Deloach, LMFT
	930 Stevens Creek Rd Ste 1, Augusta, GA 30907-3200
	(706) 343-3661
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Pettit Deloach
Gender	Female
Speciality	Marriage & Family Therapist
Location	930 Stevens Creek Rd Ste 1, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790002947
Provider Enumeration Date: 04/28/2010
Last Update Date: 01/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3375987142
Enrollment ID: I20240220003175

Medical Identifiers

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

Identifier	Type	State	Issuer
1790002947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	1313 (North Carolina)	Secondary
106H00000X	Marriage & Family Therapist	MFT001470 (Georgia)	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 Pettit Deloach allows following entities to bill medicare on her behalf.

Entity Name	Tara Pettit Deloach Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124897145 PECOS PAC ID: 2466896238 Enrollment ID: O20240220002952

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 Pettit Deloach 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 Pettit Deloach, LMFT 930 Stevens Creek Rd Ste 1, Augusta, GA 30907-3200 Ph: (706) 343-3661	Tara Pettit Deloach, LMFT 930 Stevens Creek Rd Ste 1, Augusta, GA 30907-3200 Ph: (706) 343-3661

Reviews and Comments

Marriage & Family Therapist in Augusta, GA

Morgan Lueck, Couples Therapy Medicare: Medicare Enrolled Practice Location: 519 Blackburn Dr Ste 523, Augusta, GA 30907 Phone: 706-524-7134
Mrs. Susan K Robertson, M.S.,L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2326 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-739-0791 Fax: 706-739-0150
Ashley Quamme, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3736 Executive Center Dr, Augusta, GA 30907 Phone: 706-364-4599
Kathryn Diane Thompson, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3633 Wheeler Rd Ste 365, Augusta, GA 30909 Phone: 706-432-6866
Mrs. Jennifer Lichtenberg Alvarez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3540 Wheeler Rd Ste 619, Augusta, GA 30909 Phone: 706-395-8606 Fax: 706-395-8610
Mrs. Eleanor Kelsey Martin Thompson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1287 Marks Church Rd Ste E2, Augusta, GA 30909 Phone: 706-426-1913
Elizabeth Blair Harison, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3633 Wheeler Rd Ste 365, Augusta, GA 30909 Phone: 478-238-9344

Tara Pettit Deloach, LMFT - Medicare Couples Therapy in Augusta, GA