Tacha H Souverain, ARNP in Palm Coast, FL - Medicare Nurse Practitioner

Tacha H Souverain, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Palm Coast, Florida. Her current practice location is 84 Pinnacles Dr Ste 200, Palm Coast, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 439-9777.

Tacha H Souverain is licensed to practice in Florida (license number 11014127) 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 1518633767.

Contact Information

	Tacha H Souverain, ARNP
	84 Pinnacles Dr Ste 200, Palm Coast, FL 32164-2324
	(386) 439-9777
	(386) 439-0800

Map and Direction

Provider's Profile

Full Name	Tacha H Souverain
Gender	Female
Speciality	Nurse Practitioner - Family
Location	84 Pinnacles Dr Ste 200, Palm Coast, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518633767
Provider Enumeration Date: 08/18/2021
Last Update Date: 08/18/2021

Medicare PECOS Information:

PECOS PAC ID: 2163890278
Enrollment ID: I20221122000230

Medical Identifiers

Medical identifiers for Tacha H Souverain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518633767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11014127 (Florida)	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. Tacha H Souverain allows following entities to bill medicare on her behalf.

Entity Name	Ardent Family Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225131477 PECOS PAC ID: 7517933419 Enrollment ID: O20040902000408

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. Tacha H Souverain 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
Tacha H Souverain, ARNP 84 Pinnacles Dr Ste 200, Palm Coast, FL 32164-2324 Ph: (386) 439-9777	Tacha H Souverain, ARNP 84 Pinnacles Dr Ste 200, Palm Coast, FL 32164-2324 Ph: (386) 439-9777

Reviews and Comments

Nurse Practitioner Nurses in Palm Coast, FL

Lyne Emilie Homeus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Waywell Pl, Palm Coast, FL 32164 Phone: 386-530-1708
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373
Amanda Vera, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811
Traci Serrano, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720
Mrs. Venus M. Valliere, ARNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-446-5505 Fax: 386-246-3960

Tacha H Souverain, ARNP - Medicare Nurse Practitioner in Palm Coast, FL