Tamera Shantel Douglas, - Medicare Nurse Practitioner in Little Rock, AR

Tamera Shantel Douglas, is a medicare enrolled "Nurse Practitioner" in Little Rock, Arkansas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Arkansas Urology, P.a. and her current practice location is 1300 Centerview Dr, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 219-8900.

Tamera Shantel Douglas is licensed to practice in Arkansas (license number 214797) 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 1881270122.

Contact Information

Tamera Shantel Douglas,
1300 Centerview Dr,
Little Rock, AR 72211-4349
(501) 219-8900
Not Available

Map and Direction




Provider's Profile

Full NameTamera Shantel Douglas
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1300 Centerview Dr, Little Rock, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tamera Shantel Douglas graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1881270122
  • Provider Enumeration Date: 03/18/2021
  • Last Update Date: 05/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840692877
  • Enrollment ID: I20210713001645

Medical Identifiers

Medical identifiers for Tamera Shantel Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881270122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 214797 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center North Little RockNorth little rock, ARHospital
Jefferson Regional Medical CenterPine bluff, ARHospital
Conway Regional Health SystemConway, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arkansas Urology, P.a.408250254738

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. Tamera Shantel Douglas allows following entities to bill medicare on her behalf.
Entity NameArkansas Urology, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093720443
PECOS PAC ID: 4082502547
Enrollment ID: O20040306000102
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190913002365

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. Tamera Shantel Douglas 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
Tamera Shantel Douglas,
1300 Centerview Dr,
Little Rock, AR 72211-4349

Ph: (501) 219-8900
Tamera Shantel Douglas,
1300 Centerview Dr,
Little Rock, AR 72211-4349

Ph: (501) 219-8900

Reviews and Comments


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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.