Tara Jo Dekamp, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Hanover, Michigan. Her current practice location is
7999 Folks Rd, Hanover, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 250-0800.
Tara Jo Dekamp is licensed to practice in Michigan (license number 4704304674) 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 1740958933.
Provider's Profile
| Full Name | Tara Jo Dekamp |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 7999 Folks Rd, Hanover, Michigan |
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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: 1740958933
- Provider Enumeration Date: 09/01/2021
- Last Update Date: 06/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214316082
- Enrollment ID: I20220624001106
Medical Identifiers
Medical identifiers for Tara Jo Dekamp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740958933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | 4704304674 (Michigan) | 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. Tara Jo Dekamp allows following entities to bill medicare on her behalf.
| Entity Name | Bronson Methodist Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417961137
PECOS PAC ID: 0244148633
Enrollment ID: O20031208000832 |
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| Entity Name | Bronson Battle Creek Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093119638
PECOS PAC ID: 0547173478
Enrollment ID: O20041103000774 |
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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. Tara Jo Dekamp 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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Tara Jo Dekamp, CPNP-PC
7999 Folks Rd,
Hanover, MI 49241-9784
Ph: (517) 250-0800 | Tara Jo Dekamp, CPNP-PC
7999 Folks Rd,
Hanover, MI 49241-9784
Ph: (517) 250-0800 |
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