Mrs Tara B Enlow, CFNP in Fulton, MS - Medicare Nurse Practitioner

Mrs Tara B Enlow, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Fulton, Mississippi. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Express Care Of Fulton and her current practice location is 204 Interchange Dr, Fulton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 862-9040.

Mrs Tara B Enlow is licensed to practice in Mississippi (license number R860076) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336266550.

Contact Information

	Mrs Tara B Enlow, CFNP
	204 Interchange Dr, Fulton, MS 38843-6011
	(662) 862-9040
	(662) 409-2102

Map and Direction

Provider's Profile

Full Name	Mrs Tara B Enlow
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	204 Interchange Dr, Fulton, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tara B Enlow graduated from nursing school in 2002

NPI Data:

NPI Number: 1336266550
Provider Enumeration Date: 03/23/2007
Last Update Date: 09/14/2023

Medicare PECOS Information:

PECOS PAC ID: 8022048404
Enrollment ID: I20050817000758

Medical Identifiers

Medical identifiers for Mrs Tara B Enlow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336266550	NPI	-	NPPES
04103589	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R860076 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Tupelo, MS	Home health agency
North Mississippi Medical Ctr Hha	Tupelo, MS	Home health agency
North Mississippi Medical Center	Tupelo, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Express Care Of Fulton	7012947484	2

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 B Enlow allows following entities to bill medicare on her behalf.

Entity Name	Express Care Of Fulton
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780890517 PECOS PAC ID: 7012947484 Enrollment ID: O20050816000310

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 B Enlow 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 B Enlow, CFNP 204 Interchange Dr, Fulton, MS 38843-6011 Ph: (662) 862-9040	Mrs Tara B Enlow, CFNP 204 Interchange Dr, Fulton, MS 38843-6011 Ph: (662) 862-9040

Reviews and Comments

Nurse Practitioner Nurses in Fulton, MS

Mrs. Sheila Ann Frederick, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 Patton Cemetary Rd, Fulton, MS 38843 Phone: 662-213-8086
Thomas Matthew Taylor, FNP- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Fulton, MS 38843 Phone: 662-862-5200 Fax: 662-862-5297
Magean Lashae Kemp, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 199 Pine Grove Rd, Fulton, MS 38843 Phone: 256-436-2264
Kaitlin Holley, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 95 Wilson Dr, Fulton, MS 38843 Phone: 662-401-4712
Mrs. Rebecca Claire Northington, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Hospital Rd, Fulton, MS 38843 Phone: 662-862-7047 Fax: 662-862-7053
Mrs. Paige A Nabors, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 800 Scott Senter Rd, Fulton, MS 38843 Phone: 662-397-8017

Mrs Tara B Enlow, CFNP - Medicare Nurse Practitioner in Fulton, MS