Mrs Tara Lynn Nichols, CNP in Canton, OH - Medicare Nurse Practitioner

Mrs Tara Lynn Nichols, CNP is a medicare enrolled "Nurse Practitioner" in Canton, Ohio. Her current practice location is 2600 6th St Sw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 363-1342.

Mrs Tara Lynn Nichols is licensed to practice in Ohio (license number APRN.CNP.020528) 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 1205364007.

Contact Information

	Mrs Tara Lynn Nichols, CNP
	2600 6th St Sw, Canton, OH 44710-1702
	(330) 363-1342
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tara Lynn Nichols
Gender	Female
Speciality	Nurse Practitioner
Location	2600 6th St Sw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205364007
Provider Enumeration Date: 05/24/2017
Last Update Date: 11/23/2022

Medicare PECOS Information:

PECOS PAC ID: 0244509255
Enrollment ID: I20170707000814

Medical Identifiers

Medical identifiers for Mrs Tara Lynn Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205364007	NPI	-	NPPES
1205364007	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	365623 (Ohio)	Secondary
363L00000X	Nurse Practitioner	APRN.CNP.020528 (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 Tara Lynn Nichols allows following entities to bill medicare on her behalf.

Entity Name	Aultman Deuble Heart & Vascular Hospital, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306495718 PECOS PAC ID: 1850726126 Enrollment ID: O20200114002347

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 Lynn Nichols 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 Lynn Nichols, CNP 2600 6th St Sw Ste A2-800, Canton, OH 44710-1702 Ph: (330) 363-1342	Mrs Tara Lynn Nichols, CNP 2600 6th St Sw, Canton, OH 44710-1702 Ph: (330) 363-1342

Reviews and Comments

Nurse Practitioner Nurses in Canton, OH

Mrs. Rachel Elizabeth Starr, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000
Chelsea Flight, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000
Kathleen Moore, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-588-4676
Taylor Meghan Moyer, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-7444 Fax: 330-363-7770
Jaime Marie Rennecker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-5433 Fax: 330-363-7785
Tayler Rae Schembechler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6076 Whipple Ave Nw, Canton, OH 44720 Phone: 330-305-5001
Heather Baker, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-452-9911

Mrs Tara Lynn Nichols, CNP - Medicare Nurse Practitioner in Canton, OH