Mrs Tara Marie Piccolo, NURSE PRACITIONER - Medicare Nurse Practitioner in Anglewood, NJ

Mrs Tara Marie Piccolo, NURSE PRACITIONER is a medicare enrolled "Nurse Practitioner" in Anglewood, New Jersey. Her current practice location is 350 Angle Street, Anglewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 894-3000.

Mrs Tara Marie Piccolo is licensed to practice in New Jersey (license number 26NJ01402700) 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 1861104515.

Contact Information

Mrs Tara Marie Piccolo, NURSE PRACITIONER
350 Angle Street,
Anglewood, NJ 07631
(201) 894-3000
Not Available



Provider's Profile

Full NameMrs Tara Marie Piccolo
GenderFemale
SpecialityNurse Practitioner
Location350 Angle Street, Anglewood, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861104515
  • Provider Enumeration Date: 12/14/2022
  • Last Update Date: 12/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698132801
  • Enrollment ID: I20230602002036

Medical Identifiers

Medical identifiers for Mrs Tara Marie Piccolo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861104515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 26NJ01402700 (New Jersey)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. Mrs Tara Marie Piccolo allows following entities to bill medicare on her behalf.
Entity NameMedical Associates Of Englewood Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952681918
PECOS PAC ID: 1355512252
Enrollment ID: O20110927000020

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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. Mrs Tara Marie Piccolo 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
Mrs Tara Marie Piccolo, NURSE PRACITIONER
478 Abbott Avenue,
Ridgefield, NJ 07657

Ph: (201) 334-6634
Mrs Tara Marie Piccolo, NURSE PRACITIONER
350 Angle Street,
Anglewood, NJ 07631

Ph: (201) 894-3000

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Nurse Practitioner Nurses in Anglewood, NJ


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