Angela L Tatom, NP-C is a medicare enrolled "Nurse Practitioner" physician in Panama City, Florida. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Florida Surgeons Pa and her current practice location is
724 W 19th St, Panama City, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 769-0278.
Angela L Tatom is licensed to practice in Florida (license number APRN11007905) 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 1275142358.
Physician's Profile
| Full Name | Angela L Tatom |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 724 W 19th St, Panama City, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Angela L Tatom graduated from medical school in 2020
NPI Data:
- NPI Number: 1275142358
- Provider Enumeration Date: 07/24/2020
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 8527373778
- Enrollment ID: I20201015000678
Medical Identifiers
Medical identifiers for Angela L Tatom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275142358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 11007905 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11007905 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Florida Surgeons Pa | 2769381391 | 231 |
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. Angela L Tatom allows following entities to bill medicare on her behalf.
| Entity Name | North Florida Surgeons Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912953290
PECOS PAC ID: 2769381391
Enrollment ID: O20040102000629 |
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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. Angela L Tatom 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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Angela L Tatom, NP-C
11945 San Jose Blvd Ste 300,
Jacksonville, FL 32223-1627
Ph: (904) 396-1725 | Angela L Tatom, NP-C
724 W 19th St,
Panama City, FL 32405-4101
Ph: (850) 769-0278 |
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