Ms Tara Jo Elizondo, PMHNP in Lufkin, TX - Medicare Nurse Practitioner

Ms Tara Jo Elizondo, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lufkin, Texas. Her current practice location is 1522 W Frank Ave, Lufkin, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 639-2384.

Ms Tara Jo Elizondo is licensed to practice in Texas (license number 1107727) 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 1760188502.

Contact Information

	Ms Tara Jo Elizondo, PMHNP
	1522 W Frank Ave, Lufkin, TX 75904-3334
	(936) 639-2384
	(936) 639-9888

Map and Direction

Provider's Profile

Full Name	Ms Tara Jo Elizondo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1522 W Frank Ave, Lufkin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760188502
Provider Enumeration Date: 02/02/2023
Last Update Date: 02/02/2023

Medicare PECOS Information:

PECOS PAC ID: 5395118616
Enrollment ID: I20230307000547

Medical Identifiers

Medical identifiers for Ms Tara Jo Elizondo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760188502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1107727 (Texas)	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 Tara Jo Elizondo allows following entities to bill medicare on her behalf.

Entity Name	Burke Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396792420 PECOS PAC ID: 1254312077 Enrollment ID: O20040527000661

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 Tara Jo Elizondo 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 Tara Jo Elizondo, PMHNP 1522 W Frank Ave, Lufkin, TX 75904-3334 Ph: (936) 639-2384	Ms Tara Jo Elizondo, PMHNP 1522 W Frank Ave, Lufkin, TX 75904-3334 Ph: (936) 639-2384

Reviews and Comments

Nurse Practitioner Nurses in Lufkin, TX

Lanita Ann Smith, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2206 N John Redditt Dr, Lufkin, TX 75904 Phone: 936-671-4300 Fax: 936-671-4321
Carlie Rae Merritt, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 503 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-699-5639
Whitney Clark, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 319 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-634-3713
Brandi Johnson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1717 Sayers St, Lufkin, TX 75904 Phone: 936-899-5368
Robert H Doan Jr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1702 E Denman Ave, Lufkin, TX 75901 Phone: 936-639-1224 Fax: 936-639-1224
Christina Michelle Evett, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 Christie Dr, Lufkin, TX 75904 Phone: 936-699-5433
Sophie M Hill, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 818 W Frank Ave, Lufkin, TX 75904 Phone: 936-699-5275

Ms Tara Jo Elizondo, PMHNP - Medicare Nurse Practitioner in Lufkin, TX