Lori Anne Tackman, MD - Medicare Pediatrics in Supply, NC

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Lori Anne Tackman, MD is a medicare enrolled "Pediatrics" physician in Supply, North Carolina. Her current practice location is 20 Medical Campus Dr Nw Ste 205, Supply, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 721-4400.

Lori Anne Tackman is licensed to practice in North Carolina (license number 2000-00146) 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 1497752968.

Contact Information

Lori Anne Tackman, MD
20 Medical Campus Dr Nw Ste 205,
Supply, NC 28462
(910) 721-4400
(910) 721-4409

Map and Direction




Physician's Profile

Full NameLori Anne Tackman
GenderFemale
SpecialityPediatrics
Location20 Medical Campus Dr Nw Ste 205, Supply, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497752968
  • Provider Enumeration Date: 06/30/2005
  • Last Update Date: 10/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8820222813
  • Enrollment ID: I20131007000022

Medical Identifiers

Medical identifiers for Lori Anne Tackman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497752968NPI-NPPES
126WXOtherNCBCBS
89126WXMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2000-00146 (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. Lori Anne Tackman allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692

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. Lori Anne Tackman 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
Lori Anne Tackman, MD
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -		Lori Anne Tackman, MD
20 Medical Campus Dr Nw Ste 205,
Supply, NC 28462

Ph: (910) 721-4400

Reviews and Comments


Pediatrics Doctors in Supply, NC

Dr. Joanne Peck, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 14 Doctors Cir, Suite 3, Supply, NC 28462
Phone: 910-754-7075    Fax: 910-754-2158

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.