Mrs Tara Ann Smith, in Syracuse, NY - Medicare Nurse Practitioner

Mrs Tara Ann Smith, is a medicare enrolled "Nurse Practitioner - Family" in Syracuse, New York. Her current practice location is 301 Prospect Ave, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 726-8331.

Mrs Tara Ann Smith is licensed to practice in New York (license number 533146) 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 1508127887.

Contact Information

	Mrs Tara Ann Smith,
	301 Prospect Ave, Syracuse, NY 13203-1807
	(315) 726-8331
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tara Ann Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	301 Prospect Ave, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508127887
Provider Enumeration Date: 06/04/2012
Last Update Date: 06/04/2012

Medicare PECOS Information:

PECOS PAC ID: 0042443186
Enrollment ID: I20140425001039

Medical Identifiers

Medical identifiers for Mrs Tara Ann Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508127887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	533146 (New York)	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 Tara Ann Smith allows following entities to bill medicare on her behalf.

Entity Name	St Joseph's Physician Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154376770 PECOS PAC ID: 9436041431 Enrollment ID: O20040325001159

Entity Name	St Josephs Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744

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 Tara Ann Smith 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
Mrs Tara Ann Smith, 6178 Dawns Rdg, Cicero, NY 13039-7815 Ph: (315) 569-2137	Mrs Tara Ann Smith, 301 Prospect Ave, Syracuse, NY 13203-1807 Ph: (315) 726-8331

Reviews and Comments

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Mrs Tara Ann Smith, - Medicare Nurse Practitioner in Syracuse, NY