Tara Polla, DNP in Baltimore, MD - Medicare Nurse Practitioner

Tara Polla, DNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Baltimore, Maryland. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shock Trauma Associates Pa and her current practice location is 22 S Greene St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (516) 313-9298.

Tara Polla is licensed to practice in Maryland (license number R221466) 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 1730733486.

Contact Information

	Tara Polla, DNP
	22 S Greene St, Baltimore, MD 21201-1544
	(516) 313-9298
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Polla
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	22 S Greene St, Baltimore, Maryland
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 Polla graduated from nursing school in 2019

NPI Data:

NPI Number: 1730733486
Provider Enumeration Date: 07/31/2019
Last Update Date: 02/27/2024

Medicare PECOS Information:

PECOS PAC ID: 1153755392
Enrollment ID: I20201111000185

Medical Identifiers

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

Identifier	Type	State	Issuer
1730733486	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R221466 (Maryland)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	R221466 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shock Trauma Associates Pa	6800882317	230

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 Polla allows following entities to bill medicare on her behalf.

Entity Name	Shock Trauma Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679512909 PECOS PAC ID: 6800882317 Enrollment ID: O20040421000976

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 Polla 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 Polla, DNP 22 S Greene St, Baltimore, MD 21201-1544 Ph: () -	Tara Polla, DNP 22 S Greene St, Baltimore, MD 21201-1544 Ph: (516) 313-9298

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Tara Polla, DNP - Medicare Nurse Practitioner in Baltimore, MD