Andrea Hardison Tackett, MD, FACC - Medicare Cardiovascular Disease (cardiology) in San Luis Obispo, CA

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Andrea Hardison Tackett, MD, FACC is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in San Luis Obispo, California. She went to University Of Kentucky College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice Peacehealth and her current practice location is 1941 Johnson Ave, Ste 101, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 782-8844.

Andrea Hardison Tackett is licensed to practice in California (license number A116056) 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 1215138789.

Contact Information

Andrea Hardison Tackett, MD, FACC
1941 Johnson Ave, Ste 101,
San Luis Obispo, CA 93401-4154
(805) 782-8844
(805) 782-8859

Map and Direction




Physician's Profile

Full NameAndrea Hardison Tackett
GenderFemale
SpecialityCardiovascular Disease (cardiology)
Experience19 Years
Location1941 Johnson Ave, San Luis Obispo, California
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:
  • Andrea Hardison Tackett attended and graduated from University Of Kentucky College Of Medicine in 2005
  NPI Data:
  • NPI Number: 1215138789
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 06/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931377827
  • Enrollment ID: I20220816001024

Medical Identifiers

Medical identifiers for Andrea Hardison Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215138789NPI-NPPES
ZZZ28458ZOtherCABLUE SHIELD
P00971250OtherCARR MEDICARE
GR000068680MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease A116056 (California)Primary
207UN0901XNuclear Medicine - Nuclear Cardiology A116056 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph HospitalBellingham, WAHospital
Peacehealth Ketchikan Medical CenterKetchikan, AKHospital
Peacehealth United General Medical CenterSedro woolley, WAHospital
Peacehealth Peace Island Medical CenterFriday harbor, WAHospital
Skagit Valley HospitalMount vernon, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peacehealth9537073960265

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. Andrea Hardison Tackett allows following entities to bill medicare on her behalf.
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309553
PECOS PAC ID: 9537073960
Enrollment ID: O20031118001062
Entity NamePeacehealth Peace Island Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1487917233
PECOS PAC ID: 9335391044
Enrollment ID: O20121204000225
Entity NamePeacehealth Peace Island Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508129842
PECOS PAC ID: 9335391044
Enrollment ID: O20130122000273
Entity NamePeacehealth United General Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1144664954
PECOS PAC ID: 6103056288
Enrollment ID: O20140312000236
Entity NamePeacehealth United General Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548698806
PECOS PAC ID: 6103056288
Enrollment ID: O20140507000955

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. Andrea Hardison Tackett 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
Andrea Hardison Tackett, MD, FACC
1941 Johnson Ave, Ste 101,
San Luis Obispo, CA 93401-4154

Ph: (805) 782-8844		Andrea Hardison Tackett, MD, FACC
1941 Johnson Ave, Ste 101,
San Luis Obispo, CA 93401-4154

Ph: (805) 782-8844

Reviews and Comments


Internal Medicine Doctors in San Luis Obispo, CA

Rabab Hajar, M.D
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 35 Casa St Ste 130, San Luis Obispo, CA 93405
Phone: 805-541-1422    Fax: 805-595-1815
Justin N Grammy, DO
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401
Phone: 805-543-4407    Fax: 805-543-4587
Pravir R Vatsa, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1023 Nipomo St # 110, San Luis Obispo, CA 93401
Phone: 805-439-2998    Fax: 805-439-2997
Philippe Duhaime, M.D
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: Sierra Vista Regional Medical Center, 1010 Murray Ave,, San Luis Obispo, CA 93405
Phone: 805-546-7000    
Dr. Grace Crittenden, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401
Phone: 805-543-4043    
Christopher Vaughn Holland, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1551 Bishop St Ste 250, San Luis Obispo, CA 93401
Phone: 805-540-0689    Fax: 805-541-4376
Dr. Deborah A. Cherry, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4251 S Higuera St Ste 701, San Luis Obispo, CA 93401
Phone: 805-439-1381    Fax: 805-439-0138

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.