Mrs Tara Sue Sundem, NNP in Phoenix, AZ - Medicare Nurse Practitioner

Mrs Tara Sue Sundem, NNP is a medicare enrolled "Nurse Practitioner" in Phoenix, Arizona. Her current practice location is 3003 E Mcdowell Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 277-4161.

Mrs Tara Sue Sundem is licensed to practice in Arizona (license number RN083714) 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 1629302567.

Contact Information

	Mrs Tara Sue Sundem, NNP
	3003 E Mcdowell Rd, Phoenix, AZ 85008-3620
	(602) 277-4161
	(602) 266-3481

Map and Direction

Provider's Profile

Full Name	Mrs Tara Sue Sundem
Gender	Female
Speciality	Nurse Practitioner
Location	3003 E Mcdowell Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629302567
Provider Enumeration Date: 09/24/2009
Last Update Date: 09/30/2020

Medicare PECOS Information:

PECOS PAC ID: 4082885330
Enrollment ID: I20110919000607

Medical Identifiers

Medical identifiers for Mrs Tara Sue Sundem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629302567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN083714 (Arizona)	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 Sue Sundem allows following entities to bill medicare on her behalf.

Entity Name	Hushabye Nursery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265079560 PECOS PAC ID: 3678990470 Enrollment ID: O20200825001871

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 Sue Sundem 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 Sue Sundem, NNP 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 Ph: (602) 277-4161	Mrs Tara Sue Sundem, NNP 3003 E Mcdowell Rd, Phoenix, AZ 85008-3620 Ph: (602) 277-4161

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
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Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507
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Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919

Mrs Tara Sue Sundem, NNP - Medicare Nurse Practitioner in Phoenix, AZ