Tara Collins Samples, PHD, LCP - Medicare Psychologist in Memphis, TN

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Tara Collins Samples, PHD, LCP is a medicare enrolled "Psychologist - Clinical" provider in Memphis, Tennessee. Her current practice location is 3362 S 3rd St, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 701-2510.

Tara Collins Samples is licensed to practice in Tennessee (license number 3472) 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 1306929732.

Contact Information

Tara Collins Samples, PHD, LCP
3362 S 3rd St,
Memphis, TN 38109-2944
(901) 701-2510
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTara Collins Samples
GenderFemale
SpecialityPsychologist - Clinical
Location3362 S 3rd St, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306929732
  • Provider Enumeration Date: 10/21/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799058962
  • Enrollment ID: I20170911000718

Medical Identifiers

Medical identifiers for Tara Collins Samples such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306929732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 3472 (Tennessee)Primary
103TC0700XPsychologist - Clinical 07100827 (Illinois)Secondary

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 Collins Samples allows following entities to bill medicare on her behalf.
Entity NameChrist Community Health Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982686614
PECOS PAC ID: 3870402084
Enrollment ID: O20040528000468

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 Collins Samples 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 Collins Samples, PHD, LCP
100 Campus View Dr,
Lincoln, IL 62656-2111

Ph: (678) 643-9371		Tara Collins Samples, PHD, LCP
3362 S 3rd St,
Memphis, TN 38109-2944

Ph: (901) 701-2510

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.