Tara L Crumble, APRN in Metropolis, IL - Medicare Nurse Practitioner

Tara L Crumble, APRN is a medicare enrolled "Nurse Practitioner - Family" in Metropolis, Illinois. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Health Physicians Kentucky Llc and her current practice location is 1204 W 10th St, Metropolis, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 524-3572.

Tara L Crumble is licensed to practice in Kentucky (license number 3006882) 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 1801195466.

Contact Information

	Tara L Crumble, APRN
	1204 W 10th St, Metropolis, IL 62960-2433
	(618) 524-3572
	(618) 524-3496

Map and Direction

Provider's Profile

Full Name	Tara L Crumble
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1204 W 10th St, Metropolis, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tara L Crumble graduated from nursing school in 2010

NPI Data:

NPI Number: 1801195466
Provider Enumeration Date: 03/22/2011
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3678751500
Enrollment ID: I20110624000148

Medical Identifiers

Medical identifiers for Tara L Crumble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801195466	NPI	-	NPPES
000000732524	Other	KY	BLUE CROSS BLUE SHIELD
7100159770	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209010040 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	041407260 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	309010804 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	3006882 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lourdes Hospital	Paducah, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health Physicians Kentucky Llc	1153488648	35

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 L Crumble allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health Physicians Kentucky Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922243690 PECOS PAC ID: 1153488648 Enrollment ID: O20090327000434

Entity Name	Mercy Health Physicians Kentucky Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700408093 PECOS PAC ID: 1456777069 Enrollment ID: O20200813001096

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 L Crumble 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
Tara L Crumble, APRN 28 Chick St, Metropolis, IL 62960-2467 Ph: (618) 524-2176	Tara L Crumble, APRN 1204 W 10th St, Metropolis, IL 62960-2433 Ph: (618) 524-3572

Reviews and Comments

Nurse Practitioner Nurses in Metropolis, IL

Theresa Renee Curlin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 W 10th St, Metropolis, IL 62960 Phone: 618-524-3795 Fax: 618-524-3211
John Larrison, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28 Chick St Ste 100, Metropolis, IL 62960 Phone: 618-524-2176 Fax: 618-524-4131
Alyce Hannan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Hospital Dr, Metropolis, IL 62960 Phone: 618-524-2182
Mallory Renee Wittig, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Hospital Dr, Metropolis, IL 62960 Phone: 618-524-2182 Fax: 618-524-2451
Christy Kennedy, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28 Chick St, Metropolis, IL 62960 Phone: 618-638-1343
Ashley Dawn Suggs, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1204 W 10th St, Metropolis, IL 62960 Phone: 618-524-3572
Cheryl L Brookshier, APNCFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1203 W 10th St, Metropolis, IL 62960 Phone: 618-524-3795 Fax: 618-524-3211

Tara L Crumble, APRN - Medicare Nurse Practitioner in Metropolis, IL