Tara Wellington, - Medicare Nurse Practitioner in Syracuse, NY

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Tara Wellington, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Syracuse, New York. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Josephs Hospital Health Center, Psychiatry Faculty Practice, Inc and her current practice location is 4900 Broad Rd, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 492-5713.

Tara Wellington is licensed to practice in New York (license number 403567) 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 1407428071.

Contact Information

Tara Wellington,
4900 Broad Rd,
Syracuse, NY 13215-2265
(315) 492-5713
Not Available

Map and Direction




Provider's Profile

Full NameTara Wellington
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location4900 Broad Rd, Syracuse, New York
Accepts Medicare AssignmentsYes. 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 Wellington graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1407428071
  • Provider Enumeration Date: 07/13/2021
  • Last Update Date: 07/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183014145
  • Enrollment ID: I20211206001583

Medical Identifiers

Medical identifiers for Tara Wellington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407428071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 403567 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Hospital S U N Y Health Science CenterSyracuse, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Josephs Hospital Health Center923404332491
Psychiatry Faculty Practice, Inc923445853065

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 Wellington allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400
Entity NameUpstate Community Medical, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689620163
PECOS PAC ID: 0143238782
Enrollment ID: O20060323000644
Entity NamePsychiatry Faculty Practice, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881084820
PECOS PAC ID: 9234458530
Enrollment ID: O20150508000699

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 Wellington 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 AddressPractice Location Address
Tara Wellington,
Po Box 10,
Sandy Creek, NY 13145-0010

Ph: (315) 939-3456		Tara Wellington,
4900 Broad Rd,
Syracuse, NY 13215-2265

Ph: (315) 492-5713

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.