Mrs Macy Marie Tackett, MSN, PMHNP-BC - Medicare Nurse Practitioner in Fairlawn, OH

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Mrs Macy Marie Tackett, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fairlawn, Ohio. Her current practice location is 3094 W Market St Ste 360, Fairlawn, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 987-8847.

Mrs Macy Marie Tackett is licensed to practice in Ohio (license number APRN.CNP.0035112) 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 1871201285.

Contact Information

Mrs Macy Marie Tackett, MSN, PMHNP-BC
3094 W Market St Ste 360,
Fairlawn, OH 44333-3618
(614) 987-8847
Not Available

Map and Direction




Provider's Profile

Full NameMrs Macy Marie Tackett
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3094 W Market St Ste 360, Fairlawn, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871201285
  • Provider Enumeration Date: 11/14/2022
  • Last Update Date: 11/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890148035
  • Enrollment ID: I20240124002602

Medical Identifiers

Medical identifiers for Mrs Macy Marie Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871201285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) RN.453033 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.0035112 (Ohio)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. Mrs Macy Marie Tackett allows following entities to bill medicare on her behalf.
Entity NameQuest Recovery Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104450063
PECOS PAC ID: 3476974718
Enrollment ID: O20200522000660

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. Mrs Macy Marie 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 AddressPractice Location Address
Mrs Macy Marie Tackett, MSN, PMHNP-BC
6063 S Myers Rd,
New Franklin, OH 44216-9441

Ph: (330) 936-7653		Mrs Macy Marie Tackett, MSN, PMHNP-BC
3094 W Market St Ste 360,
Fairlawn, OH 44333-3618

Ph: (614) 987-8847

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.

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