Katherine Elaine Tavares, FNP-BC - Medicare Nurse Practitioner in Peridot, AZ

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Katherine Elaine Tavares, FNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Peridot, Arizona. Her current practice location is 103 Medicine Way Rd, Peridot, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 475-1400.

Katherine Elaine Tavares is licensed to practice in Arizona (license number 279367) 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 1992433874.

Contact Information

Katherine Elaine Tavares, FNP-BC
103 Medicine Way Rd,
Peridot, AZ 85542-5000
(928) 475-1400
Not Available

Map and Direction




Provider's Profile

Full NameKatherine Elaine Tavares
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location103 Medicine Way Rd, Peridot, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992433874
  • Provider Enumeration Date: 08/09/2022
  • Last Update Date: 08/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2961878251
  • Enrollment ID: I20221011001458

Medical Identifiers

Medical identifiers for Katherine Elaine Tavares such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992433874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN105209 (Arizona)Secondary
363LP2300XNurse Practitioner - Primary Care 279367 (Arizona)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. Katherine Elaine Tavares allows following entities to bill medicare on her behalf.
Entity NameSan Carlos Apache Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265813075
PECOS PAC ID: 0648580597
Enrollment ID: O20151105002091

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. Katherine Elaine Tavares 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
Katherine Elaine Tavares, FNP-BC
Po Box 2406,
Claypool, AZ 85532-2406

Ph: (928) 961-0159		Katherine Elaine Tavares, FNP-BC
103 Medicine Way Rd,
Peridot, AZ 85542-5000

Ph: (928) 475-1400

Reviews and Comments


Nurse Practitioner Nurses in Peridot, AZ

Tanisha Danielle Morales, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542
Phone: 928-475-1400    
Leloole Sole Barika, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 103 Medicine Way Road, Peridot, AZ 85542
Phone: 928-475-1400    
Jared L Rasmussen,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 103 E Medicine Way, Peridot, AZ 85542
Phone: 928-475-1400    
Jessica M Madrid-warden, NP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 103 Medicine Way Road, Peridot, AZ 85542
Phone: 928-475-1400    
Anthony Robert Paul, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 103 Medicine Way Road, Peridot, AZ 85542
Phone: 928-475-1200    
Camilee Hayes, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542
Phone: 928-475-1400    
Mr. Manuel Jaymenn Abeyta, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542
Phone: 928-475-1400    

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.