Tara Liddiard, - Medicare Nurse Practitioner in Dakota Dunes, SD

Tara Liddiard, is a medicare enrolled "Nurse Practitioner - Family" in Dakota Dunes, South Dakota. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Lincoln County Hospital District and her current practice location is 455 N Sioux Point Rd, Dakota Dunes, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 217-7000.

Tara Liddiard is licensed to practice in South Dakota (license number RN044871) 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 1851999411.

Contact Information

Tara Liddiard,
455 N Sioux Point Rd,
Dakota Dunes, SD 57049-5327
(605) 217-7000
(605) 217-7015



Provider's Profile

Full NameTara Liddiard
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location455 N Sioux Point Rd, Dakota Dunes, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tara Liddiard graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1851999411
  • Provider Enumeration Date: 10/15/2020
  • Last Update Date: 10/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7214348903
  • Enrollment ID: I20221212001444

Medical Identifiers

Medical identifiers for Tara Liddiard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851999411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN044871 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Star Valley Medical CenterAfton, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Lincoln County Hospital District478958021839

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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 Liddiard allows following entities to bill medicare on her behalf.
Entity NameNorth Lincoln County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730132523
PECOS PAC ID: 4789580218
Enrollment ID: O20031208000415

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Entity NameNorth Lincoln County Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1255376406
PECOS PAC ID: 4789580218
Enrollment ID: O20101103000284

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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. Tara Liddiard 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 Liddiard,
455 N Sioux Point Rd,
Dakota Dunes, SD 57049-5327

Ph: (605) 217-7000
Tara Liddiard,
455 N Sioux Point Rd,
Dakota Dunes, SD 57049-5327

Ph: (605) 217-7000

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Nurse Practitioner Nurses in Dakota Dunes, SD

Alexandria Lynn Kohn, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 711 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049
Phone: 712-222-7960    Fax: 472-222-7961
Ellen T Wengert, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049
Phone: 605-217-5500    Fax: 605-217-5515
Nicolle Marie Weaver, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049
Phone: 605-217-2667    Fax: 605-217-2900
Mrs. Rayna Lea Bernadine Mccormick, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049
Phone: 605-217-2667    Fax: 605-217-2900
Brooke Buum, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Tower Rd Ste 120, Dakota Dunes, SD 57049
Phone: 605-217-4320    Fax: 605-217-2948
Sandra Louise Shumaker, ACNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 921 Spyglass Cir, Cnos, Pc, Dakota Dunes, SD 57049
Phone: 712-490-8422    
Allison Faye Pedersen,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049
Phone: 605-217-2667    Fax: 605-217-2900

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