Tara M Thompson, FNP is a medicare enrolled "General Practice" in Mesa, Arizona. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice United Care Team Pllc and her current practice location is
4824 E Baseline Rd Ste 140, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 969-4040.
Tara M Thompson is licensed to practice in Arizona (license number AP10708) 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 1235652942.
Provider's Profile
Full Name | Tara M Thompson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 4824 E Baseline Rd Ste 140, Mesa, Arizona |
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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 M Thompson graduated from nursing school in 2017
NPI Data:
- NPI Number: 1235652942
- Provider Enumeration Date: 07/25/2017
- Last Update Date: 02/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 6305104563
- Enrollment ID: I20171215000744
Medical Identifiers
Medical identifiers for Tara M Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235652942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP10708 (Arizona) | Secondary |
208D00000X | General Practice | AP10708 (Arizona) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
United Care Team Pllc | 9436536513 | 6 |
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 M Thompson allows following entities to bill medicare on her behalf.
Entity Name | Goldfield Medical Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861412686 PECOS PAC ID: 4385631167 Enrollment ID: O20040426001485 |
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Entity Name | Restore Medical, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386136182 PECOS PAC ID: 9133477672 Enrollment ID: O20180731002984 |
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Entity Name | Athena Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164918124 PECOS PAC ID: 8921358706 Enrollment ID: O20180829003049 |
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Entity Name | United Care Team Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740921394 PECOS PAC ID: 9436536513 Enrollment ID: O20220510002585 |
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Entity Name | United Wound & Vascular Institute New Mexico |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255199352 PECOS PAC ID: 0446690994 Enrollment ID: O20240610001230 |
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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 M Thompson 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 M Thompson, FNP 19713 E Cherry Hills Pl, Queen Creek, AZ 85142-6272 Ph: () - | Tara M Thompson, FNP 4824 E Baseline Rd Ste 140, Mesa, AZ 85206-4680 Ph: (480) 969-4040 |
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