Dr Tara L Broadwater, MD in Eagan, MN - Medicare Psychiatry & Neurology

Dr Tara L Broadwater, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Eagan, Minnesota. Her current practice location is 898 Wescott Trl Apt 311, Eagan, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 304-1899.

Dr Tara L Broadwater is licensed to practice in Minnesota (license number 40655) 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 1255310298.

Contact Information

	Dr Tara L Broadwater, MD
	898 Wescott Trl Apt 311, Eagan, MN 55123-2272
	(507) 304-1899
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tara L Broadwater
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	898 Wescott Trl Apt 311, Eagan, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255310298
Provider Enumeration Date: 01/10/2006
Last Update Date: 04/26/2023

Medicare PECOS Information:

PECOS PAC ID: 1052396512
Enrollment ID: I20040621000537

Medical Identifiers

Medical identifiers for Dr Tara L Broadwater such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255310298	NPI	-	NPPES
388R8BU	Other	MN	BCBS
0573816	Other	IA	MEDICAID
NA2951032151	Other	MN	PREFFERED ONE
HP36174	Other	MN	HEALTH PARTNERS
1965380	Other	MN	AMERICAS PPO
124673	Other	MN	UCARE
41084933956001C212	Other		CHAMPUS
526011600	Medicaid	MN
P00138242	Other		RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	40655 (Minnesota)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	40655 (Minnesota)	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 L Broadwater allows following entities to bill medicare on her behalf.

Entity Name	Sanford Health Of Northern Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442

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 L Broadwater 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 L Broadwater, MD 898 Wescott Trl Apt 311, Eagan, MN 55123-2272 Ph: (507) 304-1899	Dr Tara L Broadwater, MD 898 Wescott Trl Apt 311, Eagan, MN 55123-2272 Ph: (507) 304-1899

Reviews and Comments

Psychiatry & Neurology Doctors in Eagan, MN

Mark Patrick Kerekes, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1185 Town Centre Dr, Suite 225 Bhsi Llc, Eagan, MN 55123 Phone: 651-769-6200 Fax: 651-769-6249
Dr. Benjamin Lane Hersey, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 Fax: 651-241-0059
Michael Anders Donndelinger Beldon, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114
Bryan J Schwieters, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2781 Pilot Knob Rd, Eagan, MN 55121 Phone: 651-289-7300 Fax: 651-289-7301
John Robert Shirriff, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3460 Washington Drive, Suite 200, Eagan, MN 55122 Phone: 651-769-6200 Fax: 651-769-6249

Dr Tara L Broadwater, MD - Medicare Psychiatry & Neurology in Eagan, MN