Gloria Jeane Tatsapaugh, FNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Dover Plains, New York. She graduated from nursing school in 1977 and has 47 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sun River Health Inc. and her current practice location is
3174 Route 22, Hudson River Healthcare, Inc., Dover Plains, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 877-4793.
Gloria Jeane Tatsapaugh is licensed to practice in New York (license number 302509) 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 1063504934.
Provider's Profile
| Full Name | Gloria Jeane Tatsapaugh |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 47 Years |
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| Location | 3174 Route 22, Dover Plains, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gloria Jeane Tatsapaugh graduated from nursing school in 1977
NPI Data:
- NPI Number: 1063504934
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 01/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 5991898611
- Enrollment ID: I20110328000441
Medical Identifiers
Medical identifiers for Gloria Jeane Tatsapaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063504934 | NPI | - | NPPES |
| 00473038 | Medicaid | NY | |
| 02328870 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 302509 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sun River Health Inc. | 6608783568 | 157 |
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. Gloria Jeane Tatsapaugh allows following entities to bill medicare on her behalf.
| Entity Name | Sun River Health Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375 |
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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. Gloria Jeane Tatsapaugh 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 |
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Gloria Jeane Tatsapaugh, FNP
1037 Main St, Credentialing Dept.,
Peekskill, NY 10566-2913
Ph: (914) 734-8858 | Gloria Jeane Tatsapaugh, FNP
3174 Route 22, Hudson River Healthcare, Inc.,
Dover Plains, NY 12522-5924
Ph: (845) 877-4793 |
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