Tara Sekle Pettus, in Sacramento, CA - Medicare Nurse Anesthetist, Certified Registered

Tara Sekle Pettus, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sacramento, California. Her current practice location is 4301 X St, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 734-5028.

Tara Sekle Pettus is licensed to practice in California (license number 95002263) 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 1588337232.

Contact Information

	Tara Sekle Pettus,
	4301 X St, Sacramento, CA 95817-2214
	(916) 734-5028
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Sekle Pettus
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	4301 X St, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588337232
Provider Enumeration Date: 07/28/2021
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 4183060221
Enrollment ID: I20240311003655

Medical Identifiers

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

Identifier	Type	State	Issuer
1588337232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	95203093 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95002263 (California)	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 Sekle Pettus allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

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 Sekle Pettus 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 Sekle Pettus, 4301 X St, Sacramento, CA 95817-2214 Ph: (210) 323-7549	Tara Sekle Pettus, 4301 X St, Sacramento, CA 95817-2214 Ph: (916) 734-5028

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Sacramento, CA

Shannon Kentera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-7254
Kenneth D. Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975
Thomas M. Goodnow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975
Rasheed Ahmad Khan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696
Kimberly Beres, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V Street, Pssb Ste 1200, Dept Of Anesthesiology And Pain Medicine, Sacramento, CA 95817 Phone: 916-734-5028 Fax: 916-734-2975
Mr. Lewis Lindley Dewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696
Ms. Tricia D. Ouchi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd., Sacramento, CA 95817 Phone: 916-734-5032

Tara Sekle Pettus, - Medicare Nurse Anesthetist, Certified Registered in Sacramento, CA