Tanisha Keriel Tart, PMHNP in Shallotte, NC - Medicare Nurse Practitioner

Tanisha Keriel Tart, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Shallotte, North Carolina. Her current practice location is 120 Coastal Horizons Dr, Shallotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 754-4515.

Tanisha Keriel Tart is licensed to practice in South Carolina (license number 27936) 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 1407606486.

Contact Information

	Tanisha Keriel Tart, PMHNP
	120 Coastal Horizons Dr, Shallotte, NC 28470-6094
	(910) 754-4515
	Not Available

Map and Direction

Provider's Profile

Full Name	Tanisha Keriel Tart
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	120 Coastal Horizons Dr, Shallotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407606486
Provider Enumeration Date: 03/25/2024
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 2668915695
Enrollment ID: I20240619000846

Medical Identifiers

Medical identifiers for Tanisha Keriel Tart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407606486	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5019957 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5019957 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	27936 (South Carolina)	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. Tanisha Keriel Tart allows following entities to bill medicare on her behalf.

Entity Name	Coastal Horizons Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922022607 PECOS PAC ID: 9739267964 Enrollment ID: O20080429000046

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. Tanisha Keriel Tart 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
Tanisha Keriel Tart, PMHNP 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: () -	Tanisha Keriel Tart, PMHNP 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 Ph: (910) 754-4515

Reviews and Comments

Nurse Practitioner Nurses in Shallotte, NC

Rachel Irving Almond, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5160 Ocean Hwy W, Shallotte, NC 28470 Phone: 910-332-3800
Elizabeth Barton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3640 Express Dr, Shallotte, NC 28470 Phone: 910-755-5222
Mr. John Hudson Fillmore, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 Whiteville Rd Nw, Shallotte, NC 28470 Phone: 910-754-4441
Jennifer Louise Percival, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441
Hannah Nicholson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4503 Main St Ste 1, Shallotte, NC 28470 Phone: 910-754-2273 Fax: 910-754-2254
Heidi Ann Schroeder, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 341 Whiteville Rd Nw, Shallotte, NC 28470 Phone: 877-935-5255 Fax: 910-236-2118
Nicole Marie Ely, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 237 Mulberry St, Shallotte, NC 28470 Phone: 910-754-8858

Tanisha Keriel Tart, PMHNP - Medicare Nurse Practitioner in Shallotte, NC