Tara Autumn Mendoza, FNP - Medicare Nurse Practitioner in Bedford, IN

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Tara Autumn Mendoza, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bedford, Indiana. Her current practice location is 2418 16 Street, Bedford, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 508-8683.

Tara Autumn Mendoza is licensed to practice in Indiana (license number 71003400A) 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 1366742488.

Contact Information

Tara Autumn Mendoza, FNP
2418 16 Street,
Bedford, IN 47421
(812) 508-8683
Not Available

Map and Direction




Provider's Profile

Full NameTara Autumn Mendoza
GenderFemale
SpecialityNurse Practitioner - Family
Location2418 16 Street, Bedford, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366742488
  • Provider Enumeration Date: 10/22/2010
  • Last Update Date: 01/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648455840
  • Enrollment ID: I20110504000182

Medical Identifiers

Medical identifiers for Tara Autumn Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366742488NPI-NPPES
201019690MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71003400A (Indiana)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. Tara Autumn Mendoza allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostics Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932171634
PECOS PAC ID: 3072548502
Enrollment ID: O20051003000830
Entity NamePic Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942546890
PECOS PAC ID: 3476790239
Enrollment ID: O20130515000110
Entity NameFc Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225579063
PECOS PAC ID: 8820360001
Enrollment ID: O20170823001260
Entity NameCleanslate Medical Group Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023464294
PECOS PAC ID: 4880963909
Enrollment ID: O20171023001515
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649770769
PECOS PAC ID: 5395881841
Enrollment ID: O20200827001491

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. Tara Autumn Mendoza 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 AddressPractice Location Address
Tara Autumn Mendoza, FNP
2418 16th St,
Bedford, IN 47421-3049

Ph: (812) 508-8683		Tara Autumn Mendoza, FNP
2418 16 Street,
Bedford, IN 47421

Ph: (812) 508-8683

Reviews and Comments


Nurse Practitioner Nurses in Bedford, IN

Mr. Tyler Lee White, FNP-C
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Phone: 812-675-4470    Fax: 812-675-4469
Stephanie Ann Mason, FNP-C
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Practice Location: 1600 23rd St, Bedford, IN 47421
Phone: 812-275-3331    
Jamie R Bohnke, CPNP
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Phone: 812-277-0118    Fax: 812-277-0127
Mrs. Alyssa Brooke Kellams, NP
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Medicare: Medicare Enrolled
Practice Location: 2418 16th St, Bedford, IN 47421
Phone: 812-508-8683    
Barbara Deich, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2900 16th St, Bedford, IN 47421
Phone: 812-275-5352    Fax: 812-275-1374
Jennifer Hoyt, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1600 23rd St, Bedford, IN 47421
Phone: 812-489-2271    Fax: 812-666-4355
Mrs. Amanda Sue Bowman, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 629 Lincoln Ave, Bedford, IN 47421
Phone: 812-675-4470    Fax: 812-675-4469

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.