Mr Thomas Randall Reardon, RN, MS, NP(C) - Medicare Nurse Practitioner in Teec Nos Pos, AZ

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Mr Thomas Randall Reardon, RN, MS, NP(C) is a medicare enrolled "Nurse Practitioner - Family" in Teec Nos Pos, Arizona. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Dhhs Phs Naihs Shiprock Hospital and his current practice location is Us Hwy 160 And Navajo Rt 35, Hcr 6100 Box 30, Teec Nos Pos, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 656-5000.

Mr Thomas Randall Reardon is licensed to practice in Arizona (license number AP10252) 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 1174817423.

Contact Information

Mr Thomas Randall Reardon, RN, MS, NP(C)
Us Hwy 160 And Navajo Rt 35, Hcr 6100 Box 30,
Teec Nos Pos, AZ 86514
(928) 656-5000
Not Available

Map and Direction




Provider's Profile

Full NameMr Thomas Randall Reardon
GenderMale
SpecialityNurse Practitioner
Experience14 Years
LocationUs Hwy 160 And Navajo Rt 35, Teec Nos Pos, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Thomas Randall Reardon graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1174817423
  • Provider Enumeration Date: 06/03/2011
  • Last Update Date: 06/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678741097
  • Enrollment ID: I20150929001640

Medical Identifiers

Medical identifiers for Mr Thomas Randall Reardon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174817423NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN089784 (Georgia)Secondary
163WG0000XRegistered Nurse - General Practice RN207769 (Arizona)Secondary
363LF0000XNurse Practitioner - Family RN089784 (Georgia)Secondary
363LF0000XNurse Practitioner - Family AP10252 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northern Navajo Medical CenterShiprock, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dhhs Phs Naihs Shiprock Hospital074919383773

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. Mr Thomas Randall Reardon allows following entities to bill medicare on his behalf.
Entity NameDhhs Phs Naihs Shiprock Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780639971
PECOS PAC ID: 0749193837
Enrollment ID: O20031105000809
Entity NameKayenta Alternative Rural Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174692529
PECOS PAC ID: 3678558129
Enrollment ID: O20040621000422

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. Mr Thomas Randall Reardon 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
Mr Thomas Randall Reardon, RN, MS, NP(C)
Hcr 6100 Box 30,
Teec Nos Pos, AZ 86514

Ph: () -		Mr Thomas Randall Reardon, RN, MS, NP(C)
Us Hwy 160 And Navajo Rt 35, Hcr 6100 Box 30,
Teec Nos Pos, AZ 86514

Ph: (928) 656-5000

Reviews and Comments


Nurse Practitioner Nurses in Teec Nos Pos, AZ


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.