Susan Tanner, APRN is a medicare enrolled "Nurse Practitioner - Family" in Adelanto, California. Her current practice location is
11499 Bartlett Ave, Adelanto, California. You can reach out to her office (for appointments etc.) via phone at
(760) 444-4258.
Susan Tanner is licensed to practice in Nevada (license number APRN001698) 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 1932537511.
Provider's Profile
| Full Name | Susan Tanner |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 11499 Bartlett Ave, Adelanto, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932537511
- Provider Enumeration Date: 10/17/2013
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608093703
- Enrollment ID: I20140813002965
Medical Identifiers
Medical identifiers for Susan Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932537511 | NPI | - | NPPES |
| 1932537511 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN78518 (Nevada) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN199226 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23395 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 20147 (South Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 20147 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN001698 (Nevada) | 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. Susan Tanner allows following entities to bill medicare on her behalf.
| Entity Name | Tri-state Community Healthcare Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922356369
PECOS PAC ID: 5597991968
Enrollment ID: O20131114000307 |
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| Entity Name | Signify Health Medical Associates Of California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124685169
PECOS PAC ID: 8325370570
Enrollment ID: O20191022000320 |
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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. Susan 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 |
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Susan Tanner, APRN
11499 Bartlett Ave,
Adelanto, CA 92301-1902
Ph: (760) 444-4258 | Susan Tanner, APRN
11499 Bartlett Ave,
Adelanto, CA 92301-1902
Ph: (760) 444-4258 |
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