Tarah Tracy Thevenot, - Medicare Nurse Practitioner in Colorado Springs, CO

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Tarah Tracy Thevenot, is a medicare enrolled "Nurse Practitioner" physician in Colorado Springs, Colorado. Her current practice location is 1702 E Pikes Peak Ave, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 358-7338.

Tarah Tracy Thevenot is licensed to practice in Colorado (license number C-APN.0002436-C-NP) 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 1275146524.

Contact Information

Tarah Tracy Thevenot,
1702 E Pikes Peak Ave,
Colorado Springs, CO 80909-5717
(719) 358-7338
Not Available

Map and Direction




Physician's Profile

Full NameTarah Tracy Thevenot
GenderFemale
SpecialityNurse Practitioner
Location1702 E Pikes Peak Ave, Colorado Springs, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275146524
  • Provider Enumeration Date: 08/26/2020
  • Last Update Date: 11/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688087414
  • Enrollment ID: I20220317001928

Medical Identifiers

Medical identifiers for Tarah Tracy Thevenot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275146524NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11008733 (Florida)Secondary
363LF0000XNurse Practitioner - Family 11008733 (Florida)Secondary
363L00000XNurse Practitioner C-APN.0002436-C-NP (Colorado)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. Tarah Tracy Thevenot allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992709653
PECOS PAC ID: 1355331661
Enrollment ID: O20040517001230

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. Tarah Tracy Thevenot 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
Tarah Tracy Thevenot,
1702 E Pikes Peak Ave,
Colorado Springs, CO 80909-5717

Ph: (719) 358-7338		Tarah Tracy Thevenot,
1702 E Pikes Peak Ave,
Colorado Springs, CO 80909-5717

Ph: (719) 358-7338

Reviews and Comments



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.