Tami Jo Mayberry, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Elmwood, Nebraska. Her current practice location is
140 N 4th St, Elmwood, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 659-9084.
Tami Jo Mayberry is licensed to practice in Nebraska (license number 113851) 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 1225529563.
Provider's Profile
| Full Name | Tami Jo Mayberry |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 140 N 4th St, Elmwood, Nebraska |
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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: 1225529563
- Provider Enumeration Date: 05/22/2018
- Last Update Date: 11/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688066343
- Enrollment ID: I20220110001707
Medical Identifiers
Medical identifiers for Tami Jo Mayberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225529563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 113851 (Nebraska) | 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. Tami Jo Mayberry allows following entities to bill medicare on her behalf.
| Entity Name | Omaha Insomnia And Psychiatric Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477922318
PECOS PAC ID: 3779715651
Enrollment ID: O20140408000303 |
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| Entity Name | Ven Whole Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508522350
PECOS PAC ID: 9234521980
Enrollment ID: O20220110001588 |
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| Entity Name | Elmwood Hometown Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639887854
PECOS PAC ID: 4880062967
Enrollment ID: O20221121002207 |
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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. Tami Jo Mayberry 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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Tami Jo Mayberry, ARNP
140 N 4th St,
Elmwood, NE 68349-2269
Ph: (402) 659-9084 | Tami Jo Mayberry, ARNP
140 N 4th St,
Elmwood, NE 68349-2269
Ph: (402) 659-9084 |
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