Tara Leigh Benson, APNP is a medicare enrolled "Nurse Practitioner - Family" in Little Suamico, Wisconsin. Her current practice location is
834 Twin Maple Ct, Little Suamico, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 883-7212.
Tara Leigh Benson is licensed to practice in Wisconsin (license number 15391-33) 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 1124868187.
Provider's Profile
Full Name | Tara Leigh Benson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 834 Twin Maple Ct, Little Suamico, Wisconsin |
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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: 1124868187
- Provider Enumeration Date: 05/28/2024
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183164171
- Enrollment ID: I20240917001405
Medical Identifiers
Medical identifiers for Tara Leigh Benson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124868187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 15391-33 (Wisconsin) | 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 Leigh Benson allows following entities to bill medicare on her behalf.
Entity Name | Interim Hospice & Palliative Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215229604 PECOS PAC ID: 0749458735 Enrollment ID: O20130926000117 |
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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 Leigh Benson 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 Leigh Benson, APNP 834 Twin Maple Ct, Little Suamico, WI 54141 Ph: (920) 883-7212 | Tara Leigh Benson, APNP 834 Twin Maple Ct, Little Suamico, WI 54141 Ph: (920) 883-7212 |
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