Dr Tara Goodlett Gaines, MD in Concord, NC

Dr Tara Goodlett Gaines, MD is a medicare enrolled "Pediatrics" physician in Concord, North Carolina. Her current practice location is 311 Coddle Market Dr Nw, Ste 100, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 302-9100.

Dr Tara Goodlett Gaines is licensed to practice in North Carolina (license number 200200525) 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 1801866355.

Contact Information

	Dr Tara Goodlett Gaines, MD
	311 Coddle Market Dr Nw, Ste 100, Concord, NC 28027
	(980) 302-9100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tara Goodlett Gaines
Gender	Female
Speciality	Pediatrics
Location	311 Coddle Market Dr Nw, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801866355
Provider Enumeration Date: 01/26/2006
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 7315292257
Enrollment ID: I20180619000130

Medical Identifiers

Medical identifiers for Dr Tara Goodlett Gaines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801866355	NPI	-	NPPES
8913114	Medicaid	NC
13114	Other	NC	BCBS
1200893	Other	NC	UNITED HEALTHCARE
2943796	Other	NC	AETNA
800286	Other	NC	PARTNERS MCR CHOICE
280247	Other	NC	MAMSI
B6712	Other	NC	MEDCOST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	200200525 (North Carolina)	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. Dr Tara Goodlett Gaines allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Nh Digital Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427683044 PECOS PAC ID: 9537588934 Enrollment ID: O20201005002074

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. Dr Tara Goodlett Gaines 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
Dr Tara Goodlett Gaines, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Dr Tara Goodlett Gaines, MD 311 Coddle Market Dr Nw, Ste 100, Concord, NC 28027 Ph: (980) 302-9100

Reviews and Comments

Pediatrics Doctors in Concord, NC

Laura Jean Mock, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1040 Vinehaven Drive, Concord, NC 28025 Phone: 704-784-1010 Fax: 704-784-1013
Amanda Lynn Cook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2860
Andrew Zachary Heling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2660
Robert A Nahouraii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 70 Lake Concord Rd Ne, Concord, NC 28025 Phone: 704-355-9794
Kevin Michael Tompkins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664
Rula Musa Freiji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660
Joel Lutterman, Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664

Dr Tara Goodlett Gaines, MD - Medicare Pediatrics in Concord, NC