Matthew Jason Tanner, in Logansport, IN - Medicare Nurse Practitioner

Matthew Jason Tanner, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Logansport, Indiana. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Four County Comprehensive Mental Health Center Inc and his current practice location is 1015 Michigan Ave, Logansport, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 722-5151.

Matthew Jason Tanner is licensed to practice in Indiana (license number 28177692A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396395067.

Contact Information

	Matthew Jason Tanner,
	1015 Michigan Ave, Logansport, IN 46947-1526
	(574) 722-5151
	Not Available

Map and Direction

Provider's Profile

Full Name	Matthew Jason Tanner
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	1015 Michigan Ave, Logansport, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Matthew Jason Tanner graduated from nursing school in 2019

NPI Data:

NPI Number: 1396395067
Provider Enumeration Date: 09/16/2019
Last Update Date: 09/16/2019

Medicare PECOS Information:

PECOS PAC ID: 1052743382
Enrollment ID: I20191107001050

Medical Identifiers

Medical identifiers for Matthew Jason Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396395067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	28177692A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital	Logansport, IN	Hospital
Dukes Memorial Hospital	Peru, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Four County Comprehensive Mental Health Center Inc	2163334277	13

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. Matthew Jason Tanner allows following entities to bill medicare on his behalf.

Entity Name	Four County Comprehensive Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972545945 PECOS PAC ID: 2163334277 Enrollment ID: O20031105000480

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. Matthew Jason Tanner 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
Matthew Jason Tanner, 3203 Susan Dr, Kokomo, IN 46902-7506 Ph: (765) 419-0610	Matthew Jason Tanner, 1015 Michigan Ave, Logansport, IN 46947-1526 Ph: (574) 722-5151

Reviews and Comments

Nurse Practitioner Nurses in Logansport, IN

Ms. Lois Jane Taylor, CANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 E Market St, Logansport, IN 46947 Phone: 574-722-9366 Fax: 574-722-5987
Ms. Jo Estes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 844-397-1308
Chad E Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-735-3414
Michelle Leigh Myers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3727 E Market St, Logansport, IN 46947 Phone: 574-727-2114
Thomas Calvin Kerr, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 South State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-737-3907
Alison G Kaneshiro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Michigan Ave, Logansport, IN 46947 Phone: 574-753-7541
Tracy L. Thomas, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 574-735-0429

Matthew Jason Tanner, - Medicare Nurse Practitioner in Logansport, IN