Cathy Sue Tackett, APRN in South Shore, KY - Medicare Nurse Practitioner

Cathy Sue Tackett, APRN is a medicare enrolled "Nurse Practitioner - Family" in South Shore, Kentucky. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lewis County Primary Care Center Inc and her current practice location is 142 Depot Dr, South Shore, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 932-2271.

Cathy Sue Tackett is licensed to practice in Kentucky (license number 3007355) 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 1912130048.

Contact Information

	Cathy Sue Tackett, APRN
	142 Depot Dr, South Shore, KY 41175
	(606) 932-2271
	(606) 932-2273

Map and Direction

Provider's Profile

Full Name	Cathy Sue Tackett
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	142 Depot Dr, South Shore, 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:

Cathy Sue Tackett graduated from nursing school in 2009

NPI Data:

NPI Number: 1912130048
Provider Enumeration Date: 08/24/2009
Last Update Date: 03/22/2016

Medicare PECOS Information:

PECOS PAC ID: 7315084795
Enrollment ID: I20111229000677

Medical Identifiers

Medical identifiers for Cathy Sue Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912130048	NPI	-	NPPES
3014811	Medicaid	OH
7100086830	Medicaid	KY
3810021969	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3007355 (Kentucky)	Primary
363LF0000X	Nurse Practitioner - Family	1083-NP (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southern Ohio Medical Center	Portsmouth, OH	Hospital
King's Daughters' Medical Center	Ashland, KY	Hospital
Kings Daughters Medical Center Ohio	Portsmouth, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lewis County Primary Care Center Inc	1153311774	79

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. Cathy Sue Tackett allows following entities to bill medicare on her behalf.

Entity Name	Lewis County Primary Care Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457303802 PECOS PAC ID: 1153311774 Enrollment ID: O20040515000278

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. Cathy Sue 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
Cathy Sue Tackett, APRN Po Box 550, Vanceburg, KY 41179-0550 Ph: (606) 796-3029	Cathy Sue Tackett, APRN 142 Depot Dr, South Shore, KY 41175 Ph: (606) 932-2271

Reviews and Comments

Nurse Practitioner Nurses in South Shore, KY

Danielle Arthur, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Depot Dr, South Shore, KY 41175 Phone: 606-932-2271 Fax: 740-356-6387
Cindi Michelle Bradley, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Indianola Ave, South Shore, KY 41175 Phone: 606-932-3159 Fax: 606-932-6896
Rachel M Hudson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 137 State Route 3117, South Shore, KY 41175 Phone: 606-932-2079 Fax: 606-932-2313
Lora Stone, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5129 State Route 7, South Shore, KY 41175 Phone: 606-465-5866
Mr. William Andrew Ruggles, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 137 State Route 3117, South Shore, KY 41175 Phone: 606-932-2079 Fax: 606-932-2313
Mrs. Debra Dee Munn, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 481 James E. Hannah Drive, South Shore, KY 41175 Phone: 606-932-4334
James Lee Ryan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Depot Drive, South Shore, KY 41175 Phone: 606-932-2271 Fax: 606-932-2273

Cathy Sue Tackett, APRN - Medicare Nurse Practitioner in South Shore, KY