Tara Rae Sandusky, APRN in Fort Smith, AR - Medicare Nurse Practitioner

Tara Rae Sandusky, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Smith, Arkansas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain Treatment Centers Of America Pllc and her current practice location is 1001 Towson Ave, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 441-5005.

Tara Rae Sandusky is licensed to practice in Arkansas (license number 121897) 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 1063069326.

Contact Information

	Tara Rae Sandusky, APRN
	1001 Towson Ave, Fort Smith, AR 72901-4921
	(479) 441-5005
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Rae Sandusky
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1001 Towson Ave, Fort Smith, Arkansas
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 Rae Sandusky graduated from nursing school in 2012

NPI Data:

NPI Number: 1063069326
Provider Enumeration Date: 08/21/2019
Last Update Date: 09/05/2019

Medicare PECOS Information:

PECOS PAC ID: 8325370539
Enrollment ID: I20191021002200

Medical Identifiers

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

Identifier	Type	State	Issuer
1063069326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	121897 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Fort Smith	Fort smith, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pain Treatment Centers Of America Pllc	2769608819	53

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 Rae Sandusky allows following entities to bill medicare on her behalf.

Entity Name	Prime Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033454723 PECOS PAC ID: 4183878176 Enrollment ID: O20130128000344

Entity Name	Pain Treatment Centers Of America Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20140725000128

Entity Name	Baptist Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922587690 PECOS PAC ID: 0648514133 Enrollment ID: O20181211001401

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 Rae Sandusky 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 Rae Sandusky, APRN 1001 Towson Ave, Fort Smith, AR 72901-4921 Ph: (479) 441-4000	Tara Rae Sandusky, APRN 1001 Towson Ave, Fort Smith, AR 72901-4921 Ph: (479) 441-5005

Reviews and Comments

Nurse Practitioner Nurses in Fort Smith, AR

Steven A. Wells, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000
Valentina Nastasi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-226-8340
Mrs. Tonya Renea Allen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3112 S 70th St, Fort Smith, AR 72903 Phone: 479-452-8600
Mandi T Williams, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903 Phone: 479-831-6007 Fax: 479-782-1242
Tracy Lynn Fisher, APN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708
Mrs. Athena Frangos-pasley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-709-6850
Mrs. Gayla Denise Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-484-6000

Tara Rae Sandusky, APRN - Medicare Nurse Practitioner in Fort Smith, AR