Dr Suzanne Renee Tambasco, NP - Medicare Nurse Practitioner in Fayetteville, GA

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Dr Suzanne Renee Tambasco, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fayetteville, Georgia. Her current practice location is 210 Trilith Pkwy, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 309-5891.

Dr Suzanne Renee Tambasco is licensed to practice in New Mexico (license number CNP-63745) 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 1417500786.

Contact Information

Dr Suzanne Renee Tambasco, NP
210 Trilith Pkwy,
Fayetteville, GA 30214-4616
(770) 309-5891
Not Available

Map and Direction




Provider's Profile

Full NameDr Suzanne Renee Tambasco
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location210 Trilith Pkwy, Fayetteville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417500786
  • Provider Enumeration Date: 07/16/2019
  • Last Update Date: 07/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597160408
  • Enrollment ID: I20210816001918

Medical Identifiers

Medical identifiers for Dr Suzanne Renee Tambasco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417500786NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 155955 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 259122 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 24185688 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 114662 (West Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11022333 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0002821 (Colorado)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 202102650 (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health CNP-63745 (New Mexico)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. Dr Suzanne Renee Tambasco allows following entities to bill medicare on her behalf.
Entity NameValle Del Sol Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831344035
PECOS PAC ID: 8628019148
Enrollment ID: O20050516000299

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. Dr Suzanne Renee Tambasco 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
Dr Suzanne Renee Tambasco, NP
2870 Peachtree Rd Nw,
Atlanta, GA 30305-2918

Ph: (770) 309-5891		Dr Suzanne Renee Tambasco, NP
210 Trilith Pkwy,
Fayetteville, GA 30214-4616

Ph: (770) 309-5891

Reviews and Comments


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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.