Rexanna Tatlock, AGPCNP-BC in Columbus, IN - Medicare Nurse Practitioner

Rexanna Tatlock, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Columbus, Indiana. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Columbus Regional Health Physicians Llc, Franciscan Physician Network and her current practice location is 4035 Mimosa Dr, Columbus, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 375-6358.

Rexanna Tatlock is licensed to practice in Indiana (license number 71008415A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851877328.

Contact Information

	Rexanna Tatlock, AGPCNP-BC
	4035 Mimosa Dr, Columbus, IN 47201-7200
	(812) 375-6358
	(812) 375-6373

Map and Direction

Provider's Profile

Full Name	Rexanna Tatlock
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	4035 Mimosa Dr, Columbus, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Rexanna Tatlock graduated from nursing school in 2018

NPI Data:

NPI Number: 1851877328
Provider Enumeration Date: 07/17/2018
Last Update Date: 09/06/2024

Medicare PECOS Information:

PECOS PAC ID: 8022361468
Enrollment ID: I20181031003138

Medical Identifiers

Medical identifiers for Rexanna Tatlock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851877328	NPI	-	NPPES
000001214853	Other	IN	ANTHEM PROVIDER NUMBER
300021975	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28204653A (Indiana)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	71008415A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Columbus Regional Hospital	Columbus, IN	Hospital
Schneck Medical Center	Seymour, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Columbus Regional Health Physicians Llc	1052612314	196
Franciscan Physician Network	3072790682	983

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. Rexanna Tatlock allows following entities to bill medicare on her behalf.

Entity Name	Arnett Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

Entity Name	Columbus Regional Health Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336510098 PECOS PAC ID: 1052612314 Enrollment ID: O20151211000054

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. Rexanna Tatlock 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
Rexanna Tatlock, AGPCNP-BC Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Rexanna Tatlock, AGPCNP-BC 4035 Mimosa Dr, Columbus, IN 47201-7200 Ph: (812) 375-6358

Reviews and Comments

Nurse Practitioner Nurses in Columbus, IN

Carrie Butcher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2423 N National Rd, Columbus, IN 47201 Phone: 812-372-7804
Tatiana D. Doran, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2502 25th St, Columbus, IN 47201 Phone: 812-372-8883 Fax: 812-372-8964
Samantha Grider, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 220, Columbus, IN 47201 Phone: 812-376-5640
Carolyn Behling, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020
Mrs. Diane Kaye Hirtzel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 720 N Marr Rd Ste A, Columbus, IN 47201 Phone: 812-314-3400
Shelley L Clark, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Schnier St, Columbus, IN 47201 Phone: 812-376-5780 Fax: 812-376-5781
Denise Neawedde, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste J, Columbus, IN 47201 Phone: 812-375-3660

Rexanna Tatlock, AGPCNP-BC - Medicare Nurse Practitioner in Columbus, IN