Dr Nicholas Andrew Tanner, PHD in Phoenix, AZ - Medicare Psychologist Provider

Dr Nicholas Andrew Tanner, PHD is a medicare enrolled "Psychologist" provider in Phoenix, Arizona. His current practice location is 3141 N 3rd Ave, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 914-1520.

Dr Nicholas Andrew Tanner is licensed to practice in Arizona (license number PSY-004974) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942794920.

Contact Information

	Dr Nicholas Andrew Tanner, PHD
	3141 N 3rd Ave, Phoenix, AZ 85013
	(602) 914-1520
	(602) 470-5064

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicholas Andrew Tanner
Gender	Male
Speciality	Psychologist
Location	3141 N 3rd Ave, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942794920
Provider Enumeration Date: 06/21/2018
Last Update Date: 02/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4789934407
Enrollment ID: I20180830000650

Medical Identifiers

Medical identifiers for Dr Nicholas Andrew Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942794920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY-004974 (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. Dr Nicholas Andrew Tanner allows following entities to bill medicare on his behalf.

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

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 Nicholas Andrew Tanner 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
Dr Nicholas Andrew Tanner, PHD 3141 N 3rd Ave, Phoenix, AZ 85013-4360 Ph: (928) 607-4846	Dr Nicholas Andrew Tanner, PHD 3141 N 3rd Ave, Phoenix, AZ 85013 Ph: (602) 914-1520

Reviews and Comments

Psychologist in Phoenix, AZ

Dr. Carolyn J Cavanaugh Toft, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 202 E Earll Dr, Suite 420, Phoenix, AZ 85012 Phone: 480-329-6791 Fax: 602-279-0297
Marcia C Diederich, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25250 N 35th Ave, Phoenix, AZ 85083 Phone: 623-445-7100 Fax: 623-445-7180
Melissa Ann Lake, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4552 W Cottontail Rd, Phoenix, AZ 85086 Phone: 201-232-9916
Dr. Brian M Mcdonald, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3450 N 3rd St, Phoenix, AZ 85012 Phone: 602-957-2507 Fax: 602-265-8533
Efrat Eichenbaum, LP, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 222 W Thomas Rd Ste 401, Phoenix, AZ 85013 Phone: 602-406-3473 Fax: 602-406-4406
Amanda Aaron Hackwell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11431 N 39th Pl, Phoenix, AZ 85028 Phone: 541-646-6442
Dr. Ronald L. Willcoxon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18647 N 20th Street, Phoenix, AZ 85024 Phone: 602-867-9660 Fax: 602-867-2762

Dr Nicholas Andrew Tanner, PHD - Medicare Psychologist in Phoenix, AZ