Dr Laurel A Tait, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Salem, Arkansas. She went to Temple University School Of Podiatric Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Access Medical Clinic Arkansas Ltc Llc and her current practice location is
106 Highway 62 W, Salem, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 895-2015.
Dr Laurel A Tait is licensed to practice in Missouri (license number MO00556) 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 1831119676.
Healthcare Provider's Profile
| Full Name | Dr Laurel A Tait |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 44 Years |
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| Location | 106 Highway 62 W, Salem, Arkansas |
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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:
- Dr Laurel A Tait attended and graduated from Temple University School Of Podiatric Medicine in 1980
NPI Data:
- NPI Number: 1831119676
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 02/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880790237
- Enrollment ID: I20150824002123
Medical Identifiers
Medical identifiers for Dr Laurel A Tait such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831119676 | NPI | - | NPPES |
| 480005007 | Other | MO | RAILROAD MEDICARE |
| 12934038 | Other | MO | BLUE CROSS BLUE SHIELD |
| 02358739 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213EP1101X | Podiatrist - Primary Podiatric Medicine | MO00556 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Access Medical Clinic Arkansas Ltc Llc | 0547618175 | 96 |
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. Dr Laurel A Tait allows following entities to bill medicare on her behalf.
| Provider Name | Tait Podiatry Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1457731804
PECOS PAC ID: 3971819772
Enrollment ID: O20150824002011 |
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| Provider Name | Access Medical Clinic Arkansas Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1578007647
PECOS PAC ID: 5890077093
Enrollment ID: O20170124001288 |
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| Provider Name | Access Medical Clinic Arkansas Ltc Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114578929
PECOS PAC ID: 0547618175
Enrollment ID: O20231208000065 |
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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. Dr Laurel A Tait 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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Dr Laurel A Tait, DPM
3880 Majestic Oaks Dr,
Oxford, MS 38655-8143
Ph: (662) 236-7070 | Dr Laurel A Tait, DPM
106 Highway 62 W,
Salem, AR 72576-8059
Ph: (870) 895-2015 |
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