Tara S, Raczka, FNP-C in Sacaton, AZ - Medicare Nurse Practitioner

Tara S, Raczka, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sacaton, Arizona. Her current practice location is 438 W. Seed Farm Rd, Sacaton, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 550-6000.

Tara S, Raczka is licensed to practice in Arizona (license number AP4566) 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 1710288105.

Contact Information

	Tara S, Raczka, FNP-C
	438 W. Seed Farm Rd, Sacaton, AZ 85147-0038
	(520) 550-6000
	(520) 550-6032

Map and Direction

Provider's Profile

Full Name	Tara S, Raczka
Gender	Female
Speciality	Nurse Practitioner - Family
Location	438 W. Seed Farm Rd, Sacaton, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710288105
Provider Enumeration Date: 11/16/2010
Last Update Date: 01/31/2013

Medicare PECOS Information:

PECOS PAC ID: 2062682842
Enrollment ID: I20161027001213

Medical Identifiers

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

Identifier	Type	State	Issuer
1710288105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP4566 (Arizona)	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 S, Raczka allows following entities to bill medicare on her behalf.

Entity Name	Honorhealth Urgent Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740273614 PECOS PAC ID: 0345130266 Enrollment ID: O20040316000867

Entity Name	Good Health Medical, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144764432 PECOS PAC ID: 3779680962 Enrollment ID: O20070523000237

Entity Name	Ctca Physicians Group Of Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793

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 S, Raczka 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 S, Raczka, FNP-C Po Box 38, Sacaton, AZ 85147-0001 Ph: (520) 550-6000	Tara S, Raczka, FNP-C 438 W. Seed Farm Rd, Sacaton, AZ 85147-0038 Ph: (520) 550-6000

Reviews and Comments

Nurse Practitioner Nurses in Sacaton, AZ

Connie Gigous, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255
Joan E Lazore, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-520-1255
Brooke Lee Billings, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255
Melissa R Lill, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 W. Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255
Mrs. Philsy Jaison, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 W. Seed Farm Rd, Women's Health Clinic, Sacaton, AZ 85147 Phone: 602-528-1400 Fax: 602-528-1402
Mrs. Ansan Thomas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255
Ms. Lorraine Susan Aguilar, RNP WHC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 W. Seed Farm Rd., #3, Sacaton, AZ 85147 Phone: 602-528-1400 Fax: 602-528-1402

Tara S, Raczka, FNP-C - Medicare Nurse Practitioner in Sacaton, AZ