Tara Leigh Hertz, AG-ACNP in Bay Shore, NY - Medicare Nurse Practitioner

Tara Leigh Hertz, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Bay Shore, New York. Her current practice location is 39 Brentwood Rd, Bay Shore, New York. You can reach out to her office (for appointments etc.) via phone at (631) 591-7400.

Tara Leigh Hertz is licensed to practice in New York (license number 431384) 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 1891288031.

Contact Information

	Tara Leigh Hertz, AG-ACNP
	39 Brentwood Rd, Bay Shore, NY 11706
	(631) 591-7400
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Leigh Hertz
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	39 Brentwood Rd, Bay Shore, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891288031
Provider Enumeration Date: 06/12/2018
Last Update Date: 08/15/2018

Medicare PECOS Information:

PECOS PAC ID: 3870922354
Enrollment ID: I20200403002307

Medical Identifiers

Medical identifiers for Tara Leigh Hertz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891288031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	431384 (New York)	Primary
163W00000X	Registered Nurse	581597 (New York)	Secondary

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 Hertz allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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 Hertz 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 Hertz, AG-ACNP 39 Brentwood Rd, Bay Shore, NY 11706-8031 Ph: (631) 591-7400	Tara Leigh Hertz, AG-ACNP 39 Brentwood Rd, Bay Shore, NY 11706 Ph: (631) 591-7400

Reviews and Comments

Nurse Practitioner Nurses in Bay Shore, NY

Cheryl Schoedler, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1075 Cassel Ave, Bay Shore, NY 11706 Phone: 631-969-0546
Allison Marie Kornahrens, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 88 Ithaca St, Bay Shore, NY 11706 Phone: 631-252-3249
Marie Burkhardt, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3818 Fax: 631-968-3698
Deborah Beauplan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Mrs. Teresa Sara More, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1362 E Forks Rd, Bay Shore, NY 11706 Phone: 631-664-3106
Susan Aiken, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 4th Ave, Bay Shore, NY 11706 Phone: 631-665-6707
Ms. Iverine M Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Princeton Street, Bay Shore, NY 11706 Phone: 516-680-6653

Tara Leigh Hertz, AG-ACNP - Medicare Nurse Practitioner in Bay Shore, NY