Tammy Sue Juergens, FNP is a medicare enrolled "Nurse Practitioner - Family" in Washingont, Missouri. Her current practice location is
700 W 2nd St, Apt 221, Washingont, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 259-3418.
Tammy Sue Juergens is licensed to practice in Missouri (license number 2024010300) 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 1457103806.
Provider's Profile
Full Name | Tammy Sue Juergens |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 700 W 2nd St, Washingont, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457103806
- Provider Enumeration Date: 04/01/2024
- Last Update Date: 04/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254876980
- Enrollment ID: I20240717002299
Medical Identifiers
Medical identifiers for Tammy Sue Juergens such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457103806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2024010300 (Missouri) | 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. Tammy Sue Juergens allows following entities to bill medicare on her behalf.
Entity Name | Mercy Clinic Adult Hospitalists - Washington, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891943429 PECOS PAC ID: 3577630540 Enrollment ID: O20080917000782 |
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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. Tammy Sue Juergens 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 |
Tammy Sue Juergens, FNP 901 E 5th St, Washington, MO 63090-3127 Ph: () - | Tammy Sue Juergens, FNP 700 W 2nd St, Apt 221, Washingont, MO 63090 Ph: (573) 259-3418 |
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