Tarah Woodle, MD is a medicare enrolled "Urology" physician in Jbsa Ft Sam Houston, Texas. Her current practice location is
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(301) 520-6905.
Tarah Woodle is licensed to practice in Utah (license number 13917929-1205) 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 1972066678.
Physician's Profile
Full Name | Tarah Woodle |
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Gender | Female |
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Speciality | Urology |
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Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972066678
- Provider Enumeration Date: 04/09/2019
- Last Update Date: 05/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385068782
- Enrollment ID: I20240729001799
Medical Identifiers
Medical identifiers for Tarah Woodle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972066678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0101271559 (Virginia) | Secondary |
208800000X | Urology | 13917929-1205 (Utah) | 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 Woodle allows following entities to bill medicare on her behalf.
Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
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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. Tarah Woodle 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 |
Tarah Woodle, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: () - | Tarah Woodle, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (301) 520-6905 |
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