Nicholas Tannenbaum, - Medicare Emergency Medicine in Fort Liberty, NC

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Nicholas Tannenbaum, is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Fort Liberty, North Carolina. His current practice location is 2817 Rock Merritt Ave, Fort Liberty, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 907-8922.

Nicholas Tannenbaum is licensed to practice in North Carolina (license number 2024-01464) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013584382.

Contact Information

Nicholas Tannenbaum,
2817 Rock Merritt Ave,
Fort Liberty, NC 28310-0004
(910) 907-8922
(910) 907-6069

Map and Direction




Physician's Profile

Full NameNicholas Tannenbaum
GenderMale
SpecialityEmergency Medicine - Emergency Medical Services
Location2817 Rock Merritt Ave, Fort Liberty, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013584382
  • Provider Enumeration Date: 06/07/2021
  • Last Update Date: 06/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749683324
  • Enrollment ID: I20210720001324

Medical Identifiers

Medical identifiers for Nicholas Tannenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013584382NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 12918 (Georgia)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services 2024-01464 (North Carolina)Primary

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. Nicholas Tannenbaum 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
Nicholas Tannenbaum,
1186 George W Crawford Dr,
Augusta, GA 30909-0082

Ph: (630) 487-0407		Nicholas Tannenbaum,
2817 Rock Merritt Ave,
Fort Liberty, NC 28310-0004

Ph: (910) 907-8922

Reviews and Comments


Emergency Medicine Doctors in Fort Liberty, NC

Christopher Velligan, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Sean Michael Robert Ramsey, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merrit Avenue, Fort Liberty, NC 28310
Phone: 910-907-6000    
Dr. Joseph Michael Matthews, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Adam Burgess, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Dr. Sarah Ashly Fillebeck, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Rock Merritt Avenue Attn: Credentialing Office, Fort Liberty, NC 28310
Phone: 910-907-6000    
Dr. Richard Stanley Mcnutt, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310
Phone: 910-907-8922    

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.