Ms Amber Nicole Tanner, APRN in Pine Bluff, AR

Ms Amber Nicole Tanner, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Pine Bluff, Arkansas. Her current practice location is 1600 W 40th Ave, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 541-8767.

Ms Amber Nicole Tanner is licensed to practice in Arkansas (license number 218131) 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 1205588589.

Contact Information

	Ms Amber Nicole Tanner, APRN
	1600 W 40th Ave, Pine Bluff, AR 71603-6301
	(870) 541-8767
	(870) 541-8761

Map and Direction

Provider's Profile

Full Name	Ms Amber Nicole Tanner
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1600 W 40th Ave, Pine Bluff, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205588589
Provider Enumeration Date: 01/19/2022
Last Update Date: 07/10/2024

Medicare PECOS Information:

PECOS PAC ID: 0648667279
Enrollment ID: I20220428001126

Medical Identifiers

Medical identifiers for Ms Amber Nicole Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205588589	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	218131 (Arkansas)	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. Ms Amber Nicole Tanner allows following entities to bill medicare on her behalf.

Entity Name	Southeast Arkansas Hospitalists Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912374018 PECOS PAC ID: 9537479605 Enrollment ID: O20151103000750

Entity Name	Ideal Telemedicine Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20200311000756

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. Ms Amber Nicole Tanner 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
Ms Amber Nicole Tanner, APRN 16 Westridge Dr, Pine Bluff, AR 71603-7150 Ph: (870) 883-0080	Ms Amber Nicole Tanner, APRN 1600 W 40th Ave, Pine Bluff, AR 71603-6301 Ph: (870) 541-8767

Reviews and Comments

Nurse Practitioner Nurses in Pine Bluff, AR

Mrs. Debra Venola Davis, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3104 S Catalpa St Ste 9, Pine Bluff, AR 71603 Phone: 870-718-2822
Mrs. Diana Gray Millenbaugh, MSN, RNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 Camden Rd Ste 12, Pine Bluff, AR 71603 Phone: 870-534-4847 Fax: 870-534-4884
Mrs. Lillian Jynes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 N Blake St, Pine Bluff, AR 71601 Phone: 870-536-6600
Dr. Michelle Leigh Bagby, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2906 Market St, Pine Bluff, AR 71601 Phone: 870-850-8200 Fax: 870-850-8424
Collene Rogers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1609 W 40th Ave Ste 205, Pine Bluff, AR 71603 Phone: 870-541-7211
Ms. Ernice Lashette Rogers, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2306 Rike Dr, Pine Bluff, AR 71603 Phone: 870-535-2142
Cornelia Rhodes, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2410 W 24th Ave, Pine Bluff, AR 71603 Phone: 870-267-4912

Ms Amber Nicole Tanner, APRN - Medicare Nurse Practitioner in Pine Bluff, AR