Tina M Sosby, is a medicare enrolled "Nurse Practitioner - Family" in Jackson Center, Ohio. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mary Rutan Hospital and her current practice location is
805 E Pike St, Jackson Center, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 596-0456.
Tina M Sosby is licensed to practice in Ohio (license number APRN.CNP.019633) 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 1740631217.
Provider's Profile
| Full Name | Tina M Sosby |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 805 E Pike St, Jackson Center, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tina M Sosby graduated from nursing school in 2016
NPI Data:
- NPI Number: 1740631217
- Provider Enumeration Date: 06/27/2016
- Last Update Date: 08/09/2016
Medicare PECOS Information:
- PECOS PAC ID: 8325335565
- Enrollment ID: I20161003000607
Medical Identifiers
Medical identifiers for Tina M Sosby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740631217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.019633 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mary Rutan Hospital | 9032013792 | 80 |
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. Tina M Sosby allows following entities to bill medicare on her behalf.
| Entity Name | Mary Rutan Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548254931
PECOS PAC ID: 9032013792
Enrollment ID: O20031124000531 |
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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. Tina M Sosby 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 |
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Tina M Sosby,
805 E Pike St, P.o. Box 626,
Jackson Center, OH 45334-6001
Ph: (937) 596-0456 | Tina M Sosby,
805 E Pike St,
Jackson Center, OH 45334-6001
Ph: (937) 596-0456 |
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