Mrs Stephanie Mary Tarracciano, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Loganville, Georgia. She went to University Of New England, College Of Osteo Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Piedmont Providers Llc and her current practice location is
3869 Highway 81, Loganville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 466-3622.
Mrs Stephanie Mary Tarracciano is licensed to practice in Georgia (license number 072138) 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 1194043844.
Physician's Profile
Full Name | Mrs Stephanie Mary Tarracciano |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 14 Years |
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Location | 3869 Highway 81, Loganville, Georgia |
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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. |
Medical Education and Training:
- Mrs Stephanie Mary Tarracciano attended and graduated from University Of New England, College Of Osteo Medicine in 2010
NPI Data:
- NPI Number: 1194043844
- Provider Enumeration Date: 05/05/2010
- Last Update Date: 03/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 7214157676
- Enrollment ID: I20141007000640
Medical Identifiers
Medical identifiers for Mrs Stephanie Mary Tarracciano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194043844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 072138 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Piedmont Providers Llc | 9830082825 | 367 |
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. Mrs Stephanie Mary Tarracciano allows following entities to bill medicare on her behalf.
Entity Name | Piedmont Providers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
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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. Mrs Stephanie Mary Tarracciano 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 |
Mrs Stephanie Mary Tarracciano, DO 3869 Highway 81, Loganville, GA 30052-3918 Ph: (770) 466-3622 | Mrs Stephanie Mary Tarracciano, DO 3869 Highway 81, Loganville, GA 30052-3918 Ph: (770) 466-3622 |
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