Andrea Jo Tackett, APRN in Ashland, KY - Medicare Nurse Practitioner

Andrea Jo Tackett, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Ashland, Kentucky. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ashland Hospital Corporation and her current practice location is 2500 State Route 5, Ashland, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 408-4000.

Andrea Jo Tackett is licensed to practice in Kentucky (license number 3013898) 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 1629611751.

Contact Information

	Andrea Jo Tackett, APRN
	2500 State Route 5, Ashland, KY 41102-9102
	(606) 408-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrea Jo Tackett
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2500 State Route 5, Ashland, Kentucky
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:

Andrea Jo Tackett graduated from nursing school in 2019

NPI Data:

NPI Number: 1629611751
Provider Enumeration Date: 10/22/2019
Last Update Date: 09/15/2020

Medicare PECOS Information:

PECOS PAC ID: 7719311745
Enrollment ID: I20191230001592

Medical Identifiers

Medical identifiers for Andrea Jo Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629611751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	3013898 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
King's Daughters' Medical Center	Ashland, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ashland Hospital Corporation	7719882521	150

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. Andrea Jo Tackett allows following entities to bill medicare on her behalf.

Entity Name	Ashland Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053748913 PECOS PAC ID: 7719882521 Enrollment ID: O20031204000877

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. Andrea Jo Tackett 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
Andrea Jo Tackett, APRN Po Box 1595, Ashland, KY 41105-1595 Ph: (606) 408-9571	Andrea Jo Tackett, APRN 2500 State Route 5, Ashland, KY 41102-9102 Ph: (606) 408-4000

Reviews and Comments

Nurse Practitioner Nurses in Ashland, KY

Lisa Ellen Spencer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 230, Ashland, KY 41101 Phone: 606-324-4745 Fax: 606-324-4941
Tomie Thompson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ashland Dr, Ste G1, Ashland, KY 41101 Phone: 606-833-4043
Susan Aliff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 617 23rd St Ste 19, Ashland, KY 41101 Phone: 606-325-2221 Fax: 606-324-1326
Tracy Ricewick, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 130, Ashland, KY 41101 Phone: 606-329-9335
Rita Nicole Fletcher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 399 Diederich Blvd, Ashland, KY 41101 Phone: 606-324-8060 Fax: 606-325-6889
Darren Barker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 613 23rd St Ste 440, Ashland, KY 41101 Phone: 606-329-2888
Martina Renate Myers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 Fax: 606-408-6825

Andrea Jo Tackett, APRN - Medicare Nurse Practitioner in Ashland, KY